Decreasing the operation time of living donor liver transplantation in the era of laparoscopic living donor hepatectomy

Abstract

Background: To analyze the mean operating time of donors and recipients during living donor liver transplantation. Methods: Donors and recipients who underwent living donor liver transplantation during the period of 2016 to 2020 were included in the study. Mean operating time, which was defined as the duration between the entrance and exit from the operating room, was calculated. The mean operating time for donors and recipients according to the year performed were compared using the independent t-test. Results: A total of 472 cases of living donor liver transplantation cases were included to the study. Laparoscopic donor hepatectomy comprised 80.3% of cases in 2016, reaching 100% in 2020. Mean recipient operating time was 643.7±88.0 minutes in 2016, decreasing to 488.0±75.3 minutes in 2020. Mean donor operating time was 375.6±60.5 minutes in 2016, decreasing to 265.5±38.1 minutes in 2020. Conclusion: During a five-year period of laparoscopic living donor hepatectomy adaptation, the operating time for both recipients and donors decreased significantly.

Minimal-incision donor right hepatectomy for living donor liver transplantation

“…However, the application of video equipment appears to be inconvenient for the surgeons. Recently, total laparoscopic hepatectomy has been increasingly performed in many Korean LDLT centers, including our institution [3,12]. Although satisfactory outcomes of LDLT combined with total laparoscopic donor hepatectomy have been reported, it is still regarded as a challenging procedure requiring strict selection of living donors [12,13].…”