Survey Results of the Expert Meeting on Laparoscopic Living Donor Hepatectomy and Literature Review
Survey Results of the Expert Meeting on Laparoscopic Living Donor Hepatectomy and Literature Review
复制标题
腹腔镜活体肝切除术专家会议调查结果及文献复习
DOI：
10.1159/000479243
复制
发表时间：
2017
影响因子：
2.7
通讯作者：
D. Cherqui
中科院分区：
文献类型：
--
作者：
J. Cho;Ho;H. Kaneko;G. Wakabayashi;H. Okajima;S. Uemoto;O. Soubrane;C. Yong;Chao;T. Cheung;G. Belli;S. Kubo;Yao;Kuo;R. Troisi;C. Kwon;K. Suh;A. Soin;Ki‐Hun Kim;D. Cherqui
背景：由于腹腔镜供体手术在小儿活体肝移植中取得了成功，其应用正在扩展到右肝切除术。然而，对于腹腔镜供肝切除术的适应证或手术技术的细节尚未达成共识。目的：评价腹腔镜供肝切除术的现状并总结专家意见。方法：2016 年 9 月 8 日在韩国首尔举行的专家会议之前，对来自世界各地的肝脏外科医生专家进行了一项调查。结果：17 名外科医生中有 15 名 (88.2%) 回应了调查。腹腔镜供体手术的选择标准在解剖结构、残肝体积和受体状况方面比开腹手术更严格。对于所使用的仪器或设备尚未达成共识。腹腔镜供肝切除术的文献综述表明，该方法的使用正在增加，且短期结果与开腹手术相似。结论：本次调查和文献综述表明，腹腔镜供肝切除术是由经验丰富的外科医生在选定的病例中进行的，并且其发生率在全球范围内不断增加。
Background: Because laparoscopic donor surgery has been successful in pediatric living donor liver transplantation, its application is expanding to right hepatectomy. However, there is no consensus on the indications for laparoscopic donor hepatectomy or on the details of the surgical technique. Objective: To evaluate the current status of laparoscopic donor hepatectomy and to summarize the expert opinion on it. Methods: Before the expert meeting on September 8, 2016, in Seoul, Korea, a survey was undertaken from expert liver surgeons from around the world. Results: Fifteen of 17 (88.2%) surgeons responded to the survey. The selection criteria for laparoscopic donor surgery are stricter than for open surgery in terms of the anatomy, remnant liver volume, and recipient's condition. There is no consensus on the instruments or equipment used. A literature review of laparoscopic donor hepatectomy showed that the use of this method is increasing and the short-term outcomes are similar to those of open surgery. Conclusions: This survey and literature review show that laparoscopic donor hepatectomy is performed by experienced surgeons in selected cases, and that its incidence is increasing worldwide.