Initial Outcomes of Pure Laparoscopic Living Donor Right Hepatectomy in an Experienced Adult Living Donor Liver Transplant Center
Initial Outcomes of Pure Laparoscopic Living Donor Right Hepatectomy in an Experienced Adult Living Donor Liver Transplant Center
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DOI：
10.1097/tp.0000000000001637
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发表时间：
2017-05-01
期刊：
影响因子：
6.2
通讯作者：
Lee, Sung-Gyu
中科院分区：
文献类型：
--
作者：
Kim, Ki-Hun;Kang, Sung-Hwa;Lee, Sung-Gyu
背景到目前为止，只有少数中心进行了腹腔镜活体肝切除术。特别是，腹腔镜右肝切除术很少进行，因为该手术只能由在腹腔镜肝脏手术和活体肝移植方面具有丰富经验的外科医生进行。方法2014年11月至2015年2月，在牙山医疗中心为活体右叶供体进行的纯腹腔镜手术计划中，92例活体供肝行右半肝切除成人活体肝移植。结果3例供受体术中、术后均顺利完成，无并发症发生。腹腔镜活体肝切除术有一定的优势，传统的开放性surgery，包括减少伤口发病率和更快的recovery.Conclusions根据本报告的数据，纯腹腔镜活体右半肝切除术在适当选择的活体供体（只有4%的潜在捐助者在这个队列）似乎是一个安全可行的程序在成人活体肝移植。
Background Only a limited number of centers have performed laparoscopic living donor hepatectomy to date. In particular, laparoscopic right hepatectomy is rarely performed because the procedure can only be performed by surgeons with significant experience in both laparoscopic liver surgery and liver transplantation with living donor liver grafts.Methods Between November 2014 and February 2015, in a pure laparoscopic approach program for living right lobe donors at Asan Medical Center, 92 living donors underwent right hepatectomy for adult living donor liver transplantation. Among these, 3 pure laparoscopic living donor right hepatectomies were performed in 3 young female donors.Results The intraoperative and postoperative courses for all 3 donors and recipients were uneventful without any complications. Laparoscopic living donor hepatectomy has definite advantages over conventional open surgery, including decreased wound morbidity and faster recovery.Conclusions According to the data of the present report, pure laparoscopic living donor right hepatectomy in properly selected living donors (only 4% of potential donors in this cohort) appears to be a safe and feasible procedure in adult living donor liver transplantation.