Elective living donor liver transplantation by hybrid hand-assisted laparoscopic surgery and short upper midline laparotomy

Eguchi, Susumu; Takatsuki, Mitsuhisa; Soyama, Akihiko; Hidaka, Masaaki; Tomonaga, Tadashi; Izumi, Mitsuru; Kanematsu, Takashi

doi:10.1016/j.surg.2011.06.021

Cited by 36 publications

(45 citation statements)

References 14 publications

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“…Although current evidence does not indicate which of these approaches is best, HALS and hybrid method are claimed by their proponents to be beneficial for large lesions,9, 56 posterior lesions57, 58 and donor hepatectomy 59, 60, 61, 62, 63, 64. HALS and the hybrid method can be used to manage intraoperative difficulties and can theoretically decrease the frequency of conversion to full open incision.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Evolution and revolution of laparoscopic liver resection in Japan

Kaneko

Otsuka

Kubota

et al. 2017

Annals of Gastroent Surgery

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Due to important technological developments and improved endoscopic techniques, laparoscopic liver resection (LLR) is now considered the approach of choice and is increasingly performed worldwide. Recent systematic reviews and meta‐analyses of observational data reported that LLR was associated with less bleeding, fewer complications, and no oncological disadvantage; however, no prospective randomized trials have been conducted. LLR will continue to evolve as a surgical approach that improves patient's quality of life. LLR will not totally supplant open liver surgery, and major LLR remains to be technically challenging procedure. The success of LLR depends on individual learning curves and adherence to surgical indications. A recent study proposed a scoring system for stepwise application of LLR, which was based on experience at high‐volume Japanese centers. A cluster of deaths after major LLR was sensationally reported by the Japanese media in 2014. In response, the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery conducted emergency data collection on operative mortality. The results demonstrated that mortality was not higher than that for open procedures except for hemi‐hepatectomy with biliary reconstruction. An online prospective registry system for LLR was established in 2015 to be transparent for patients who might potentially undergo treatment with this newly developed, technically demanding surgical procedure.

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Section: Surgical Proceduresmentioning

confidence: 99%

Evolution and revolution of laparoscopic liver resection in Japan

Kaneko

Otsuka

Kubota

et al. 2017

Annals of Gastroent Surgery

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“…We also introduced the basic concept of the hybrid procedure into recipient surgery in selected cases (6). We herein present the current practice of the hybrid procedure and the outcomes of the procedures in LDLT.…”

Section: Introductionmentioning

confidence: 99%

Hybrid Procedure in Living Donor Liver Transplantation

Soyama

Takatsuki

Hidaka

et al. 2015

Transplantation Proceedings

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“…14 For right liver graft harvest in adult liver transplantation, a hand-assisted and laparoscopic-assisted hybrid approach has proved to be beneficial in terms of wound complications and shorter donor recovery. 15 The graft quality is comparable to that harvested by traditional laparotomy. 16 With short midline laparotomy and hybrid approach, surgical exposure could be compromised, however, if the donor had a large anteroposterior diameter, large graft, and fatty change of the graft 3 difficulty in controlling bleeding for a deep area is a possible concern.…”

Section: Discussionmentioning

confidence: 81%

Totally laparoscopic living donor right hepatectomy in a donor with trifurcation of bile duct

Chen

Huang

Siow

et al. 2016

Asian Journal of Surgery

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Donor operation in adult living donor liver transplantation is associated with significant postoperative morbidity. To avoid laparotomy wound complications and shorten postoperative recovery, laparoscopic liver graft harvest has been developed recently. However, to determine the cut point of bile duct is challenging. Herein, we report the application of totally laparoscopic approach for right liver graft harvest in a donor with trifurcation of the bile duct. A19-year-old man volunteered for living donation to his father who suffered from hepatitis B virus-related cirrhosis of liver and hepatocellular carcinoma. The graft was 880 mL with a single right hepatic artery and portal vein. The graft to recipient weight ratio was 1.06. The middle hepatic vein was preserved for the donor and the liver remnant was 42.3%. Two branches of middle hepatic veins were > 5 mm in diameter and needed reconstruction with cryopreserved allograft. Ductoplasty using laparoscopic intracorporeal suture technique was done to achieve single orifice of the graft bile duct. The postoperative course was uneventful for the donor. This report adds evidence of the feasibility of pure laparoscopic right donor hepatectomy and describes the necessary steps for bile duct division in donors with trifurcation of bile duct.

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Elective living donor liver transplantation by hybrid hand-assisted laparoscopic surgery and short upper midline laparotomy

Cited by 36 publications

References 14 publications

Evolution and revolution of laparoscopic liver resection in Japan

Evolution and revolution of laparoscopic liver resection in Japan

Hybrid Procedure in Living Donor Liver Transplantation

Totally laparoscopic living donor right hepatectomy in a donor with trifurcation of bile duct

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