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

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dc.contributor.authorSuh, K. S.-
dc.contributor.authorYi, N. J.-
dc.contributor.authorKim, J.-
dc.contributor.authorShin, W. Y.-
dc.contributor.authorLee, H. W.-
dc.contributor.authorHan, H. S.-
dc.contributor.authorLee, K. U.-
dc.date.accessioned2010-04-09T06:49:10Z-
dc.date.available2010-04-09T06:49:10Z-
dc.date.issued2008-12-23-
dc.identifier.citationTransplant Proc. 2008 ;40(10):3529-31.en
dc.identifier.issn0041-1345 (Print)-
dc.identifier.urihttps://hdl.handle.net/10371/62875-
dc.description.abstractBACKGROUND: 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.isoenen
dc.publisherElsevieren
dc.subjectAdulten
dc.subjectCarcinoma, Hepatocellular/*surgeryen
dc.subjectFemaleen
dc.subjectHepatectomy/*methodsen
dc.subjectHumansen
dc.subjectLaparoscopy/*methodsen
dc.subjectLiver Neoplasms/*surgeryen
dc.subjectLiver Transplantation/*methodsen
dc.subject*Living Donorsen
dc.subjectMaleen
dc.subjectNuclear Familyen
dc.subjectTreatment Outcomeen
dc.subjectYoung Adulten
dc.titleLaparoscopic hepatectomy for a modified right graft in adult-to-adult living donor liver transplantationen
dc.typeArticleen
dc.identifier.doi10.1016/j.transproceed.2008.07.134-
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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