ATC Abstracts

American Transplant Congress abstracts

  • Home
  • Meetings Archive
    • 2022 American Transplant Congress
    • 2021 American Transplant Congress
    • 2020 American Transplant Congress
    • 2019 American Transplant Congress
    • 2018 American Transplant Congress
    • 2017 American Transplant Congress
    • 2016 American Transplant Congress
    • 2015 American Transplant Congress
    • 2013 American Transplant Congress
  • Keyword Index
  • Resources
    • 2021 Resources
    • 2016 Resources
      • 2016 Welcome Letter
      • ATC 2016 Program Planning Committees
      • ASTS Council 2015-2016
      • AST Board of Directors 2015-2016
    • 2015 Resources
      • 2015 Welcome Letter
      • ATC 2015 Program Planning Committees
      • ASTS Council 2014-2015
      • AST Board of Directors 2014-2015
      • 2015 Conference Schedule
  • Search

Pure Laparoscopic Donor Right Hepatectomy (PLDRH) – Can It be a Standardized, Reproducible and Cost Effective Procedure?

A. Kadimella, B. Palat, R. S

HPB and Liver Transplantation, AIG Hospitals, Hyderabad, India

Meeting: 2022 American Transplant Congress

Abstract number: 1773

Keywords: Laparoscopy, Liver transplantation, Living-related liver donors

Topic: Clinical Science » Liver » 58 - Liver: Living Donor Liver Transplant and Partial Grafts

Session Information

Session Name: Liver: Living Donor Liver Transplant and Partial Grafts

Session Type: Poster Abstract

Date: Tuesday, June 7, 2022

Session Time: 7:00pm-8:00pm

 Presentation Time: 7:00pm-8:00pm

Location: Hynes Halls C & D

*Purpose: Few centers in the world are doing PLDRH because of the long learning curve and donor safety concerns. Further longer operative time, difficulty in reproducibility and higher costs make it less attractive as a routine procedure. AimTo design a standardized technique with steps similar to our open donor right Hepatectomy (ODRH), that can be reproduced easily and anticipate donor safety concerns to prevent them. To make it less expensive without bargaining the donor safety.

*Methods: Retrospective analysis of Liver donors who underwent ODRH between Jun2019 to Feb2020 (n=50) and PLDRH between March 2020 to December 2021(n=50) was done. Various clinical and laboratory parameters -operative blood requirement, Surgery time, specimen retrieval time (in PLDH groups), drain bilirubin, HB and LFT at POD 1, POD 5(at discharge) and POD 14(OPD follow up), pain scores, hospital stay, first stool, peak lactate, POD drain removal, complications, re-hospitalization were studied. PLDRH was further studied by subgroup analysis by dividing into early group (n=25) and late group (n=25). Total length of the operative time, length of hospitalization and cost of consumables were compared for the cost effective analysis.

*Results: All patients selected had no comorbidities. There was a statistically significant difference in median operative time ODRH 250 (180-360 min) vs PLDRH 380 (260-520) min (p<0.001). No significant difference was seen in drain bilirubin, HB, and LFT at POD 1, POD 5(at discharge) and POD 14 (follow up in OPD), hospital stay, first stool, peak lactate, POD drain removal, complications, re-hospitalization. Pain scores and patient satisfaction was better in PLDRH group. Fewer bile duct complications but multiple bile duct openings were seen in PLDRH than ODRH. Subgroup analysis showed significantly lesser blood loss 345 (200-600) ml vs. 200 (100-350) (p<0.001) and lesser OR times 410 (300-650) min vs 320 (280-400) min (p<0.001) of early vs. late group. Single blood transfusion was required in one patient who had been converted to open due to bleeding in the early PLDRH group. Length of hospital stay (5 vs 4 days), overall complications and re hospitalizations (1 vs 0) were similar. Graft retrieval time improved with experience (10 vs 6 min). ODRH and late PLDRH were comparable in all the above parameters. It was also observed that once the steps were more standardized, a Junior Surgeon could start adopting the same steps after a learning curve of initial 25 cases

*Conclusions: This study concludes PLDRH is reproducible, safe, cost effective and can be made standardized procedure like the open technique after learning curve of initial 25 cases. Better cosmetic acceptability and more comfortable postoperative course makes PLDRH a more acceptable procedure. Finally, the difference of cost was approximately 500 USD between PLDRH and Open donor right hepatectomy(ODRH).

  • Tweet
  • Email
  • Print

To cite this abstract in AMA style:

Kadimella A, Palat B, S R. Pure Laparoscopic Donor Right Hepatectomy (PLDRH) – Can It be a Standardized, Reproducible and Cost Effective Procedure? [abstract]. Am J Transplant. 2022; 22 (suppl 3). https://atcmeetingabstracts.com/abstract/pure-laparoscopic-donor-right-hepatectomy-pldrh-can-it-be-a-standardized-reproducible-and-cost-effective-procedure/. Accessed May 8, 2025.

« Back to 2022 American Transplant Congress

Visit Our Partner Sites

American Transplant Congress (ATC)

Visit the official site for the American Transplant Congress »

American Journal of Transplantation

The official publication for the American Society of Transplantation (AST) and the American Society of Transplant Surgeons (ASTS) »

American Society of Transplantation (AST)

An organization of more than 3000 professionals dedicated to advancing the field of transplantation. »

American Society of Transplant Surgeons (ASTS)

The society represents approximately 1,800 professionals dedicated to excellence in transplantation surgery. »

Copyright © 2013-2025 by American Society of Transplantation and the American Society of Transplant Surgeons. All rights reserved.

Privacy Policy | Terms of Use | Cookie Preferences