Abstract
Background
Interest in pure laparoscopic donor hepatectomy (PLDH) is increasing worldwide with the donor’s cosmetic demands and improvements in surgical techniques. Efficient manipulation of flexible scope is mandatory for successful PLDH, especially in right hepatectomy which requires more mobilization. This study provides guidelines on how to manipulate optimally a flexible scope.
Methods
Data from 158 donors who underwent pure laparoscopic donor right hepatectomy (PLDRH) between November 2015 and December 2017 were retrospectively reviewed.
Results
None of the donors required transfusion, conversion to open hepatectomy, or experienced any irreversible disabilities or mortalities. Three types of laparoscopic view provided by the flexible scope, which are bird’s eye view, low angle view, and lateral view, were applied to each step of the procedure.
Conclusions
PLDRH can be successfully performed with maximizing visibility given by the tips and pitfalls in manipulating the flexible scope.
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Abbreviations
- PLDRH:
-
Pure laparoscopic donor right hepatectomy
- IVC:
-
Inferior vena cava
- CUSA:
-
Cavitron ultrasonic aspirator
References
Han HS, Cho JY, Yoon YS et al (2015) Total laparoscopic living donor right hepatectomy. Surg Endosc 29:184
Soubrane O, Perdigao Cotta F, Scatton O (2013) Pure laparoscopic right hepatectomy in a living donor. Am J Transplant 13:2467–2471
Rotellar F, Pardo F, Benito A et al (2013) Totally laparoscopic right-lobe hepatectomy for adult living donor liver transplantation: useful strategies to enhance safety. Am J Transplant 13:3269–3273
Rotellar F, Pardo F, Benito A et al (2017) Totally laparoscopic right hepatectomy for living donor liver transplantation. Transplantation 101:548–554
Kim KH, Kang SH, Jung DH et al (2017) Initial outcomes of pure laparoscopic living donor right hepatectomy in an experienced adult living donor liver transplant center. Transplantation 101:1106–1110
Suh KS, Hong SK, Lee KW et al (2017) Pure laparoscopic living donor hepatectomy: focus on 55 donors undergoing right hepatectomy. Am J Transplant 18:434–443
Suh KS, Hong SK, Yi NJ et al (2016) Pure 3-dimensional laparoscopic extended right hepatectomy in a living donor. Liver Transplant 22:1431–1436
Hong SK, Suh KS, Kim HS et al (2017) Pure 3D laparoscopic living donor right hemihepatectomy in a donor with separate right posterior and right anterior hepatic ducts and portal veins. Surg Endosc 31:4834–4835
Hong SK, Lee KW, Kim HS et al (2017) Optimal bile duct division using real-time indocyanine green near-infrared fluorescence cholangiography during laparoscopic donor hepatectomy. Liver Transplant 23:847–852
Soubrane O, Kwon CH (2017) Tips for pure laparoscopic right hepatectomy in the live donor. J Hepatobiliary Pancreat Sci 24:E1–E5
Takahara T, Wakabayashi G, Hawegawa Y et al (2015) Minimally invasive donor hepatectomy: evolution from hybrid to pure laparoscopic techniques. Ann Surg 261:e3–e4
Suh KS, Yi NJ, Kim T et al (2009) Laparoscopy-assisted donor right hepatectomy using a hand port system preserving the middle hepatic vein branches. World J Surg 33:526–533
Eguchi S, Soyama A, Hara T et al (2018) Standardized hybrid living donor hemihepatectomy in adult-to-adult living donor liver transplantation. Liver Transplant 24:363–368
Soyama A, Takatsuki M, Hidaka M et al (2015) Hybrid procedure in living donor liver transplantation. Transplant Proc 47:679–682
Zhang B, Pan Y, Chen K et al (2017) Laparoscopy-assisted versus open hepatectomy for live liver donor: Systematic review and meta-analysis. Can J Gastroenterol Hepatol 2017:2956749
Coelho FF, Bernardo WM, Kruger JA et al (2018) Laparoscopy- assisted versus open and pure laparoscopic approach for liver resection and living donor hepatectomy: a systematic review and meta-analysis. HPB (Oxford) 20:687–694
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Contributions
SKH and K-WL: participated in study design. SKH, ES, K-WL, KCY, J-ML, J-HC, N-JY, and K-SS: performed the research. SKH, ES, and W-WL: analyzed the data and wrote the manuscript.
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Suk Kyun Hong, Eunhye Shin, Kwang-Woong Lee, Kyung Chul Yoon, Jeong-Moo Lee, Jae-Hyung Cho, Nam-Joon Yi, and Kyung-Suk Suh have no conflicts of interest.
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Hong, S.K., Shin, E., Lee, KW. et al. Pure laparoscopic donor right hepatectomy: perspectives in manipulating a flexible scope. Surg Endosc 33, 1667–1673 (2019). https://doi.org/10.1007/s00464-018-6594-1
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DOI: https://doi.org/10.1007/s00464-018-6594-1