Anterior approach for pure laparoscopic donor right hepatectomy.

Surgical Endoscopy
Yasushi HasegawaAkira Sasaki

Abstract

Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1-6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7-9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Th...Continue Reading

References

Sep 14, 2016·Surgical Endoscopy·Seok-Hwan KimSang-Kyung Lee
Feb 12, 2017·Journal of Hepato-biliary-pancreatic Sciences·Olivier Soubrane, Choon Hyuck David Kwon
Oct 20, 2017·Digestive Surgery·Ho-Seong HanDaniel Cherqui
Jul 6, 2018·Journal of Hepato-biliary-pancreatic Sciences·Shun-Ichi AriizumiMasakazu Yamamoto
Feb 17, 2019·Surgical Endoscopy·Suk Kyun HongKwang-Woong Lee
May 16, 2019·Surgical Endoscopy·Yasushi HasegawaAkira Sasaki

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Citations

May 29, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Akira UmemuraAkira Sasaki

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