Pure laparoscopic left lateral sectionectomy in living donors: from innovation to development in France.

Abstract:

OBJECTIVE:In this study, we report the results obtained from 70 living donors in France. BACKGROUND:Left lateral sectionectomy for pediatric live donor liver transplantation is a well-standardized surgical procedure. Our team introduced the laparoscopic approach to live donation in 2002, and the reproducibility and safety of this method was discussed in 2006. METHODS:Between March 2001 and October 2012, a total of 70 donors underwent a liver procurement. Sixty-seven donors (95.7%) underwent a left lateral sectionectomy, and 3 underwent a left hepatectomy without middle hepatic vein procurement. All data were prospectively recorded in a database. RESULTS:Of the 70 donors, 66 (94%) liver grafts were procured by laparoscopy, whereas 4 (6%) patients required conversion into an open technique. Seventeen donors experienced complications, leading to an overall complication rate of 24.2%. Eleven donors (16%) had grade 1 complications, according to the Clavien system. Five donors (7.1%) presented grade 2 complications, and 1 donor (1.4%) had a grade 3 complication. No death occurred. Overall, patient and graft survival rates for pediatric recipients were 95% and 92% at 1 year, 95% and 88% at 3 years, and 95% and 84% at 5 years, respectively. CONCLUSIONS:The laparoscopic retrieval of the left lateral section for live donor liver transplantation is safe and reproducible and has transitioned from an innovative surgery to a development phase in France.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Scatton O,Katsanos G,Boillot O,Goumard C,Bernard D,Stenard F,Perdigao F,Soubrane O

doi

10.1097/SLA.0000000000000642

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

506-12

issue

3

eissn

0003-4932

issn

1528-1140

journal_volume

261

pub_type

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