Introduction: It is no doubt that laparoscopic surgery nowadays is widely used in many abdominal surgical procedures from laparoscopic cholecystectomy to Whipple procedure. However, there is still very few studies of such operation in the transplanted patients. Objective of this paper is to share our experience of safety, feasibility, and effectiveness of minimal invasive surgery in abdominal transplant patients.

Method: We reported a total of 10 cases who underwent minimal invasive surgery: six liver transplant cases and four kidney transplant. Two of them received laparoscopic surgery for presumed acute appendicitis in 8 months after deceased donor liver transplant (DDLT) and 16 months after deceased donor kidney transplant (DDKT) respectively. A case of asymptomatic small right colon cancer detected one month after living donor liver transplant (LDLT) underwent laparoscopic right hemi-colectomy and radical lymph node dissection. The fourth patient sustained chylous ascites underwent laparoscopy for accurate diagnosis and drainage 6 months after LDLT helped in management of difficult chylous ascites with successful outcome. A case of morbid obesity with BMI of 41 kg/m2 received laparoscopic sleeve gastrectomy three years after DDKT with good response. The two liver transplant patients with multiple incisional hernia of subcostal wound received laparoscopic hernia repair with dual mesh about three years and two years after DDLT respectively. Severe uterine prolapse and moderate cystocele in a DDLT and DDKT respectively with good surgical outcomes. Lastly, a DDKT patient sustained ipsilateral right sided native kidney RCC after 10 years after transplant and underwent laparoscopic right rdical nephrectomy

Result: All the patients had been operated without any significant morbidity and recovered uneventfully with all the benefits of MIS.

Conclusion: We would like to emphasize that laparoscopic surgery for major operation in abdominal surgery is feasible, safe, and can also obtain excellent recovery as in non-transplant patients.

CITATION INFORMATION: Yin W. Minimal Invasive Surgery is Feasible and Safe in Patients with Liver and Kidney Transplant Patients Am J Transplant. 2017;17 (suppl 3).

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