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Laparoscopic hepatectomy for a modified right graft in adult-to-adult living donor liver transplantation
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Suh, K. S. | - |
dc.contributor.author | Yi, N. J. | - |
dc.contributor.author | Kim, J. | - |
dc.contributor.author | Shin, W. Y. | - |
dc.contributor.author | Lee, H. W. | - |
dc.contributor.author | Han, H. S. | - |
dc.contributor.author | Lee, K. U. | - |
dc.date.accessioned | 2010-04-09T06:49:10Z | - |
dc.date.available | 2010-04-09T06:49:10Z | - |
dc.date.issued | 2008-12-23 | - |
dc.identifier.citation | Transplant Proc. 2008 ;40(10):3529-31. | en |
dc.identifier.issn | 0041-1345 (Print) | - |
dc.identifier.uri | https://hdl.handle.net/10371/62875 | - |
dc.description.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. | en |
dc.language.iso | en | en |
dc.publisher | Elsevier | en |
dc.subject | Adult | en |
dc.subject | Carcinoma, Hepatocellular/*surgery | en |
dc.subject | Female | en |
dc.subject | Hepatectomy/*methods | en |
dc.subject | Humans | en |
dc.subject | Laparoscopy/*methods | en |
dc.subject | Liver Neoplasms/*surgery | en |
dc.subject | Liver Transplantation/*methods | en |
dc.subject | Male | en |
dc.subject | Nuclear Family | en |
dc.subject | Treatment Outcome | en |
dc.subject | Young Adult | en |
dc.subject | Living Donors | - |
dc.title | Laparoscopic hepatectomy for a modified right graft in adult-to-adult living donor liver transplantation | en |
dc.type | Article | en |
dc.identifier.doi | 10.1016/j.transproceed.2008.07.134 | - |
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