Comparison of pure laparoscopic and open living donor right hepatectomy after a learning curve

Clinical Transplantation
Boram LeeIn Gun Hyun

Abstract

This study aims to compare the early outcomes between pure laparoscopic living donor right hepatectomy (PLDRH) and open living donor right hepatectomy (ODRH) after those learning curve. Our analysis was based on 78 consecutive cases of living liver donor, who underwent right hepatectomy, of which 43 underwent ODRH and 35 PLDRH. The learning curve for each group was analyzed. Donor characteristics were comparable between the two groups. Two donors in the PLDRH required conversion to an open due to bleeding and large graft size (open conversion rate: 6.06%). The following outcomes during the study period were comparable between the two groups: operative time (P = .64); estimated blood loss (EBL; P = .86); intra-operative transfusion (P = .57); hospital stay (P = .41); and postoperative complications (P = .51). The operative time stabilized for the ODRH group after 17 cases and for the PLDRH group after 15 cases. After the learning curve, the EBL was lower for PLDRH than ODRH (P = .04). Pure laparoscopic living donor right hepatectomy can be performed as safely as ODRH and with a lower volume of EBL once the surgeon has attained an appropriate level of learning.

References

May 24, 1990·The New England Journal of Medicine·R W StrongG A Balderson
Apr 26, 2001·Health Technology Assessment : HTA·C R RamsayI T Russell
Feb 15, 2002·Lancet·Daniel CherquiDidier Houssin
Jan 28, 2004·Journal of Magnetic Resonance Imaging : JMRI·Piyaporn LimanondDavid S K Lu
Jul 1, 2006·Digestive Surgery·B RichterW O Bechstein
Feb 8, 2007·Surgical Endoscopy·I DagherD Franco
Aug 1, 2007·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Nam-Joon YiKuhn Uk Lee
Aug 2, 2007·World Journal of Surgery·Marcel C G van de PollCornelis Hc Dejong
Apr 28, 2010·Journal of the American College of Surgeons·Robert C G MartinKelly M McMasters
Sep 17, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Alvaro BuenoFernando Pardo
May 23, 2014·Transplantation·YoungRok ChoiKyung-Suk Suh
Jun 26, 2014·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Kausar MakkiVivek Vij
Jul 6, 2014·Surgical Endoscopy·Ho-Seong HanWoohyung Lee
Nov 18, 2014·World Journal of Gastroenterology : WJG·François CauchyOlivier Soubrane
Oct 10, 2015·Journal of Hepato-biliary-pancreatic Sciences·Jeong-Ik ParkSung-Gyu Lee
Aug 30, 2016·Transplantation Proceedings·K TakedaI Endo
Dec 10, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Suk Kyun HongKyung-Suk Suh
Oct 20, 2017·Digestive Surgery·Ho-Seong HanDaniel Cherqui

❮ Previous
Next ❯

Citations

Dec 8, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Wei ZhangXu Che
Jul 3, 2020·International Journal of Surgery·Hwui-Dong ChoKi-Hun Kim
Jul 12, 2020·International Journal of Surgery·Alfred Kow Wei ChiehKi-Hun Kim
Aug 3, 2021·Annals of Gastroenterological Surgery·Shigeru Marubashi, Hiroaki Nagano
Nov 30, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Yufu PengFei Liu

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons
K S SuhH Kim
Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Jungchan ParkJae Won Joh
© 2021 Meta ULC. All rights reserved