Laparoscopic hepatectomy for a modified right graft in adult-to-adult living donor liver transplantation. Transplant Proc 2008 Dec;40(10):3529-31
Date
12/23/2008Pubmed ID
19100430DOI
10.1016/j.transproceed.2008.07.134Scopus ID
2-s2.0-57549097267 (requires institutional sign-in at Scopus site) 17 CitationsAbstract
BACKGROUND: We performed a modified right hepatectomy completely by laparoscopic techniques preserving the middle hepatic vein (MHV) branches in adult-to-adult living donor liver transplantation (LDLT).
PATIENTS AND METHODS: Two young women (24 and 25 years old) volunteered to be live donors for their parents who had hepatocellular carcinomas. As the donors expressed concerns about scarring, we performed a laparoscopic procedure using a hand port device. Mobilization of the right liver and the hepatic parenchymal transection were performed under pneumoperitoneum. Parenchymal transection was performed using a laparoscopic ultrasonic aspirator without the Pringle maneuver. During parenchymal transection, major MHV branches >5 mm were preserved using Hem-o-lock clips. The graft was extracted through the hand port site. On the back table, the 3 MHV branches were reconstructed using an artificial vascular graft. The livers were transplanted without complications.
RESULTS: The operative times for the donors were 765 and 898 minutes. The donors did not require transfusions or reoperation; they were discharged on postoperative days 10 and 14 with normal liver functions.
CONCLUSION: A hepatectomy performed completely by laparoscopic techniques for a right graft with preservation of the MHV branches was technically feasible.
Author List
Suh KS, Yi NJ, Kim J, Shin WY, Lee HW, Han HS, Lee KUMESH terms used to index this publication - Major topics in bold
AdultCarcinoma, Hepatocellular
Female
Hepatectomy
Humans
Laparoscopy
Liver Neoplasms
Liver Transplantation
Living Donors
Male
Nuclear Family
Treatment Outcome
Young Adult
