Fully laparoscopic left-sided donor hepatectomy is safe and associated with shorter hospital stay and earlier return to work: A comparative study

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Benjamin SamsteinJean Emond

Abstract

Living donor liver transplantation has failed to become a major means of transplantation in the United States, where <5% of the transplants are performed with living donors. At least 30% to 50% of the complications of donor hepatectomy appear to be related to abdominal wall trauma, including hernia, bowel obstruction, and chronic abdominal discomfort. We analyzed our experience with laparoscopically procured donor hepatectomy. We compared 22 full laparoscopic donor hepatectomies to 20 open/hybrid hepatectomies over an 11-year period. Donor and recipient demographics, complications, and graft and recipient outcomes were analyzed. All 22 laparoscopically procured liver allografts were transplanted successfully. The laparoscopically procured grafts took longer to procure (7 hours 58 minutes versus 6 hours 38 minutes; P < 0.001). The laparoscopically procured cases had lower blood loss (177.3 versus 3753 cc; P < 0.001), a shorter length of stay, and significantly reduced days off work (P = .01). The 1-year graft survival was not different (90% in the laparoscopic group and 85% in the open group; P = 0.70). The 1-year patient survival was not different (95% in the laparoscopic group and 85% in the open group; P = 0.32). There was a ...Continue Reading

References

Feb 15, 2002·Lancet·Daniel CherquiDidier Houssin
Mar 30, 2005·BJU International·Nasser SimforooshSeyed M M Hosseini Moghaddam
Nov 1, 2005·Journal of Hepato-biliary-pancreatic Surgery·Steven M Strasberg
Aug 8, 2006·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·A J KoffronM Abecassis
Mar 5, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A HalmJ Jeekel
Jun 21, 2011·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Carl L BergJames E Everhart
Jul 1, 2011·The British Journal of Surgery·K H KimS G Lee
Nov 24, 2011·Gastroenterology·Abimereki D MuzaaleDorry L Segev
Feb 18, 2012·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·M M AbecassisUNKNOWN A2ALL Study Group
Jul 20, 2013·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·O SoubraneO Scatton
Aug 7, 2013·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·R I TroisiX Rogiers
Sep 17, 2013·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·B SamsteinJ C Emond
Nov 26, 2013·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·F RotellarI Herrero

❮ Previous
Next ❯

Citations

Oct 10, 2015·Journal of Hepato-biliary-pancreatic Sciences·Jeong-Ik ParkSung-Gyu Lee
Aug 18, 2016·Transplantation Reviews·Hillary J BraunJohn P Roberts
Oct 27, 2016·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Po-Da ChenYao-Ming Wu
Aug 9, 2017·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·K S SuhH Kim
Feb 10, 2018·Transplantation·Ken ShirabeUNKNOWN Japanese Liver Transplantation Society
Mar 1, 2018·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Dieter C BroeringRoberto I Troisi
Aug 14, 2018·Annals of Surgery·Benjamin SamsteinJean C Emond
Jul 19, 2018·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Choon Hyuck David KwonJae-Won Joh
Feb 16, 2019·American Journal of Transplantation : Official Journal of the American Society of Transplantation and the American Society of Transplant Surgeons·Sergey GautierTimur Dzhanbekov
May 21, 2016·Transplantation·Jean C Emond
Dec 7, 2019·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Suk Kyun HongKwang-Woong Lee
Jun 6, 2018·Asian Journal of Endoscopic Surgery·Kuo-Hsin ChenKuo-Shyang Jeng
Mar 15, 2016·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Hongyu LiBing Peng
Jul 12, 2018·World Journal of Gastroenterology : WJG·Kin Pan Au, Kenneth Siu Ho Chok
Feb 17, 2019·Surgical Endoscopy·Suk Kyun HongKwang-Woong Lee
Jul 18, 2020·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
Jun 17, 2020·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Dieter C BroeringRoberto I Troisi
Jul 3, 2020·International Journal of Surgery·Hwui-Dong ChoKi-Hun Kim
Aug 3, 2021·Annals of Gastroenterological Surgery·Shigeru Marubashi, Hiroaki Nagano

❮ 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

The Journal of Thoracic and Cardiovascular Surgery
David P MasonEugene H Blackstone
Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
S TodoT Shimamura
© 2021 Meta ULC. All rights reserved