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

Abstract：

BACKGROUND: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.

journal_name

Transplant Proc

journal_title

Transplantation proceedings

authors

Suh KS,Yi NJ,Kim J,Shin WY,Lee HW,Han HS,Lee KU

doi

10.1016/j.transproceed.2008.07.134

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

3529-31

issue

10

eissn

0041-1345

issn

1873-2623

pii

S0041-1345(08)01231-1

journal_volume

40

pub_type

杂志文章

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