Expert Panel Statement on Laparoscopic Living Donor Hepatectomy
Expert Panel Statement on Laparoscopic Living Donor Hepatectomy
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DOI：
10.1159/000479242
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发表时间：
2018-01-01
影响因子：
2.7
通讯作者：
Cherqui, Daniel
中科院分区：
文献类型：
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作者：
Han, Ho-Seong;Cho, Jai Young;Cherqui, Daniel
背景：随着活体供肝移植(LDLT)技术的改进和外科医生在腹腔镜下大范围肝切除经验的增加，越来越多的人在进行腹腔镜供肝切除术。因此，需要对这一程序发表专家意见。目的：报道腹腔镜供肝切除术的现状，总结专家意见。方法：于2016年9月8日在韩国首尔举行专家共识会议。结果：腹腔镜下供体左外侧切除术可被认为是儿童原位肝移植的标准做法。在成人同种异体肝移植中，下一步可能需要腹腔镜辅助的供体肝切除术或左肝切除术，这需要更多的证据才能成为标准做法。腹腔镜供肝右肝切除术仍处于发展阶段，还需要更多的证据支持。考虑到成本的考虑，机器人手术可能是合适的腹腔镜手术的有效替代方法。结论：腹腔镜供肝切除术在儿童和成人供肝移植中的作用日益增强。然而，对于主要的供体肝切除术，还需要更多的证据。(C)2017年S.Karger AG，巴塞尔
Background: With improvements in living donor liver transplantation (LDLT) techniques and the increased experience of surgeons in laparoscopic major liver resection, laparoscopic donor hepatectomy is performed increasingly. Therefore, expert opinion on this procedure is required. Objective: The study aimed to report the current status and summarize the expert opinion on laparoscopic donor hepatectomy. Methods: An expert consensus meeting was held on September 8, 2016, in Seoul, Korea. Results: Laparoscopic donor left lateral sectionectomy could be considered the standard practice in pediatric LDLT. In adult LDLT, laparoscopy-assisted donor hepatectomy or left hepatectomy is potentially the next need, requiring more evidence for becoming standard practice. Laparoscopic donor right hepatectomy is still in the developmental stage, and more supporting evidence is required. Waving the cost consideration, the robotic approach could be a valid alternative for the suitable approaches of laparoscopy. Conclusions: Laparoscopic donor hepatectomy is increasing its role in both pediatric and adult LDLT. However, for major donor hepatectomy, more evidence is needed. (C) 2017 S. Karger AG, Basel