Introduction: Laparoscopic donor hepatectomy is evolving as a new option in live liver donor surgery considering donor's cosmetic and functional demand. However, laparoscopic donor major hepatectomy, especially right hepatectomy is still regarded as an innovative procedure and performed in few centers. This study aimed to evaluate the learning curve for laparoscopic donor right hepatectomy by a single surgeon.

Method: Data from 100 consecutive donors who underwent pure laparoscopic donor right or extended right hepatectomy performed by a single surgeon between November 2015 to October 2017 were retrospectively analyzed. The learning curve for operating time was evaluated using cumulative sum control charts (CUSUM).

Result: Of 100 donors, extended right hepatectomy was performed in 5. Mean age was 33.7 years and mean operative time was 320.7 minutes. Eleven donors had double portal vein orifices and 45 had multiple bile duct openings. Mean hospital stay was 8.3 days and 2 donors had complication more than Clavien grade 3. One required endoscopic stenting due to biliary leakage and the other required operation due to bile duct disconnecting. The learning curve showed a steady state after case 60 for pure laparoscopic donor right hepatectomy.

Conclusion: The learning curve based on a single surgeon experience demonstrated in this study suggests that 60 cases are required for safe and reproducible pure laparoscopic donor right hepatectomy.

CITATION INFORMATION: Suh K., Hong S., Yoon K., Lee J-.M., Cho J-.H., Yi N-.J., Lee K. The Learning Curve in 100 Consecutive Live Liver Donors Undergoing Pure Laparoscopic Right Hepatectomy Am J Transplant. 2017;17 (suppl 3).

« Back to 2018 American Transplant Congress