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Laparoscopic hepatectomy for a modified right graft in adult-to-adult living donor liver transplantation

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Authors
Suh, K. S.; Yi, N. J.; Kim, J.; Shin, W. Y.; Lee, H. W.; Han, H. S.; Lee, K. U.
Issue Date
2008-12-23
Publisher
Elsevier
Citation
Transplant Proc. 2008 ;40(10):3529-31.
Keywords
AdultCarcinoma, Hepatocellular/*surgeryFemaleHepatectomy/*methodsHumansLaparoscopy/*methodsLiver Neoplasms/*surgeryLiver Transplantation/*methods*Living DonorsMaleNuclear FamilyTreatment OutcomeYoung Adult
Abstract
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.
ISSN
0041-1345 (Print)
Language
English
URI
http://hdl.handle.net/10371/62875
DOI
https://doi.org/10.1016/j.transproceed.2008.07.134
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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