Efficacy of Laparoscopic Approach in the Management of Early Liver Transplant Complications

Pedano, Nicolás; Rotellar, Fernando; Cienfuegos, Javier A.; Arredondo, Jorge; Bellver, Manuel; Martínez, P.; Sánchez, Cristina Arribas; Martí, Pablo; Zozaya, Gabriel; Herrero, J.I.; Pardo, Fernando

doi:10.1016/j.transproceed.2012.05.024

Cited by 8 publications

(5 citation statements)

References 7 publications

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“…MIS techniques have been applied in treating those complications, even in LT recipients that have a previous abdomen surgery. Most of the surgical interventions treat early postoperative complications, occurring in the first months after LT, particularly from day 5 till 8 months post operation [90][91][92]. Usage of robotic assisted surgery has been reported for the successful management of late anastomotic biliary stricture even 2 years after transplantation [88].…”

Section: Discussionmentioning

confidence: 99%

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Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

Avramidou,

Terlemes,

Lymperopoulou

et al. 2024

Livers

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Since the end of the 20th century and the establishment of minimally invasive techniques, they have become the preferred operative method by many surgeons. These techniques were applied to liver surgery for the first time in 1991, while as far as transplantation is concerned their application was limited to the living donor procedure. We performed a review of the literature by searching in Pubmed and Scopus using the following keywords: Liver transplantation, Minimally invasive surgery(MIS) living liver donor surgery. Applications of MIS are recorded in surgeries involving the donor and the recipient. Regarding the recipient surgeries, the reports are limited to 25 patients, including combinations of laparoscopic, robotic and open techniques, while in the living donor surgery, the reports are much more numerous and with larger series of patients. Shorter hospitalization times and less blood loss are recorded, especially in centers with experience in a large number of cases. Regarding the living donor surgery, MIS follows the same principles as a conventional hepatectomy and is already the method of choice in many specialized centers. Regarding the recipient surgery, significant questions arise mainly concerning the safe handling of the liver graft.

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Section: Discussionmentioning

confidence: 99%

“…Interventional radiology procedures can be used for the management of some of these complications with great success [87]. In cases that require surgical intervention, there is the potential for a MIS approach in the treatment of post LT complications [87][88][89][90][91][92].…”

Section: Post Operative Outcome In Lt Using Mis Techniquementioning

confidence: 99%

Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

Avramidou,

Terlemes,

Lymperopoulou

et al. 2024

Livers

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“…With the advent of minimally invasive surgery, laparoscopy has been preferred increasingly by surgeons, depending on their expertise and the general conditions of a patient ( 17 ). It is reported that 71% of intussusception cases could be successfully restored by laparoscopy followed by a low rate of complications and shorter hospital stays compared with laparotomy, but it also presents some cases converted to laparotomy, on account of intestinal ischemia, poor visualization, and limited operative space ( 21 , 22 ). Moreover, once postoperative ileus has been early perceived, it is indispensable that supportive care, such as NPO, nasogastric tube decompression, parenteral nutrition, and fluid resuscitation, should be considered first, and medications such as enterodynamic drugs, non-steroidal anti-inflammatory drugs (NSAIDs), glucocorticoid, and gut hormones have some value to ameliorate the symptoms without systematic evidence yet ( 14 , 23 , 24 ), but it still fails to recover gastrointestinal transit and switches to surgical intervention afterwards.…”

Section: Discussionmentioning

confidence: 99%

3D Laparoscopy-Assisted Operation to Adult Intussusceptions During Perioperative Period of Liver Transplantation: Case Report and Literature Review

et al. 2021

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Adult intussusception during the perioperative period is defined as an extremely rare condition, especially when it emerges within short intervals of laparotomy, which may be explained as an unphysiological peristaltic function of the bowel without any lead points. Accurate diagnosis and therapeutic schedule predict a satisfactory outcome. Here, we introduce the case of a 32-year-old man who had symptoms of abdominal pain, no gas emission, and defecation shortly after liver transplantation. Intussusception was definitely diagnosed by abdominal CT, and then reduction was operated successfully by three-dimensional laparoscopy-assisted operation. There were no other complaints, and no secondary lesions were detected during the postoperative rehabilitation process in the hospital and over a follow-up period of 6 months. Relevant literature has been summarized subsequently. A promising minimally invasive surgery along with minimal secondary trauma was presented by laparoscopy in this rare case, providing the potential remedy for perioperative intussusception in the adult.

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“…9 We have recently reported the successful treatment of early post-LT complications, such as bleeding and intestinal obstructions, with a totally laparoscopic approach. 2 Although laparoscopic T-tube placement has been widely adopted for laparoscopic common bile duct exploration, it is considered a complicated technique that requires advanced skills. To our knowledge, this is the first reported case of the successful treatment of post-LT biliary leakage with laparoscopic T-tube placement.…”

Section: Discussionmentioning

confidence: 99%

Pure laparoscopic management of early biliary leakage after liver transplantation: Abdominal lavage and T‐tube placement

et al. 2015

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Efficacy of Laparoscopic Approach in the Management of Early Liver Transplant Complications

Cited by 8 publications

References 7 publications

Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

Minimally Invasive Surgery in Liver Transplantation: From Living Liver Donation to Graft Implantation

3D Laparoscopy-Assisted Operation to Adult Intussusceptions During Perioperative Period of Liver Transplantation: Case Report and Literature Review

Pure laparoscopic management of early biliary leakage after liver transplantation: Abdominal lavage and T‐tube placement

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