Laparoscopic Live Donor Left Lateral Sectionectomy is Safe and Feasible for Pediatric Living Donor Liver Transplantation
Laparoscopic Live Donor Left Lateral Sectionectomy is Safe and Feasible for Pediatric Living Donor Liver Transplantation
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DOI：
10.5754/hge12134
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发表时间：
2012-11-01
影响因子：
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通讯作者：
Hwang, Gyu-Sam
中科院分区：
文献类型：
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作者：
Yu, Young-Dong;Kim, Ki-Hun;Hwang, Gyu-Sam
背景/目的：与开放式左侧切除术相比，腹腔镜方法已证明住院时间更短，出血和并发症更少，正在成为金标准手术。我们报告自 2008 年 5 月起在 PLDLT 期间进行的 15 例腹腔镜左外侧切片切除术的经验。方法：从 2008 年 5 月至 2010 年 4 月，有 15 例腹腔镜左外侧切片切除术用于供肝切除术。所有病例均由一名外科医生完成。结果：实际移植物的平均大小为 248.8 +/- 52.8mL（范围 150-350）。平均手术时间为 331.3 +/- 63.1 分钟（范围 220-480），平均失血量为 410.0 +/- 71.2 mL（范围 250-500），平均热缺血时间为 5.8 +/- 1.6 分钟（范围 4-10）。口服摄入的平均时间为 2.0 +/- 0.3 天（范围 1-3），平均住院时间为 7.1 +/- 0.8 天（范围 6-10）。捐献者术后没有出现并发症或死亡。结论：我们相信这是一种安全且可重复的手术，对于希望伤口小和快速康复的年轻母亲捐赠者来说特别有用。
Background/Aims: Compared to the open method of left lateral sectionectomy, the laparoscopic method has demonstrated shorter hospital stay with less bleeding and complications and is becoming the gold standard procedure. We report our experience with 15 laparoscopic left lateral sectionectomies performed during PLDLTs from May 2008. Methodology: From May 2008 to April 2010, there were 15 cases where laparoscopic left lateral sectionectomy was performed for donor hepatectomy. All cases were performed by a single surgeon. Results: The mean size of the actual graft was 248.8 +/- 52.8mL (range 150-350). The mean operation time was 331.3 +/- 63.1 minutes (range 220-480), the mean blood loss was 410.0 +/- 71.2mL (range 250-500) and the mean warm ischemic time was 5.8 +/- 1.6 minutes (range 4-10). The mean time to oral intake was 2.0 +/- 0.3 days (range 1-3) and the mean hospital stay was 7.1 +/- 0.8 days (range 6-10). There were no complications or deaths among donors postoperatively. Conclusions: We believe it is a safe and reproducible procedure and an especially useful procedure for young mother donors who desire small wounds and rapid recovery.