Pure Laparoscopic Left Lateral Sectionectomy in Living Donors

Scatton, Olivier; Katsanos, Georgios; Boillot, Olivier; Goumard, Claire; Denis, Bernard; Stenard, Fabien; Perdigao, Fabiano; Soubrane, Olivier

doi:10.1097/sla.0000000000000642

Cited by 82 publications

(76 citation statements)

References 29 publications

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“…Laparoscopic hepatectomy was introduced in 2000, and approximately 300 procedures have been performed, including 80 live donor hepatectomies by our team [17][18][19][20]25]. Laparoscopic procedures, including detailed techniques and concepts, have been sequentially refined and standardized [20,25], with LMH introduced in 2003.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic procedures, including detailed techniques and concepts, have been sequentially refined and standardized [20,25], with LMH introduced in 2003. Our previous report describing the novel conceptual technique of LMH [25] showed that laparoscopic surgery is performed using essentially the same steps and principles used in the open procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Laparoscopic hepatectomy, including use of a live donor, was first performed in 2000 and is now fairly standard for our team [17][18][19][20]. The development of stable, reproducible, and standardized techniques expanded the indications for major hepatectomy for HCC from 2006.…”

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confidence: 99%

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Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

et al. 2015

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“…LLR achieved similar short-and long-term oncologic outcomes for HCC or colorectal liver metastases (CLM) [59,62,69]. Finally, some authors advocated the systematic use of LLR for left lateral resection in benign liver lesions and in living donors for pediatric liver living donor transplantation [70,71].…”

Section: Minimally Invasive Approachmentioning

confidence: 99%

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

et al. 2016

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Background Enhanced Recovery After Surgery (ERAS) is a multimodal pathway developed to overcome the deleterious effect of perioperative stress after major surgery. In colorectal surgery, ERAS pathways reduced perioperative morbidity, hospital stay and costs. Similar concept should be applied for liver surgery. This study presents the specific ERAS Society recommendations for liver surgery based on the best available evidence and on expert consensus. Methods A systematic review was performed on ERAS for liver surgery by searching EMBASE and Medline. Five independent reviewers selected relevant articles. Quality of randomized trials was assessed according to the Jadad score and CONSORT statement. The level of evidence for each item was determined using the GRADE system. The Delphi method was used to validate the final recommendations. Results A total of 157 full texts were screened. Thirty-seven articles were included in the systematic review, and 16 of the 23 standard ERAS items were studied specifically for liver surgery. Consensus was reached among experts after 3 rounds. Prophylactic nasogastric intubation and prophylactic abdominal drainage should be omitted. The use of postoperative oral laxatives and minimally invasive surgery results in a quicker bowel recovery and shorter hospital stay. Goal-directed fluid therapy with maintenance of a low intraoperative central venous pressure induces faster recovery. Early oral intake and mobilization are recommended. There is no evidence to prefer epidural to other types of analgesia. Conclusions The current ERAS recommendations were elaborated based on the best available evidence and endorsed by the Delphi method. Nevertheless, prospective studies need to confirm the clinical use of the suggested protocol.

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“…Laparoscopic LLS for LDLT provides better conditions for pure laparoscopic surgery than does right hepatectomy, including better access, fewer anatomical variations, and easier mobilization. LLS for pediatric LDLT was first described in 2002 [3], and its safety and reproducibility have already been demonstrated [22], with a shift from innovation to development [23]. Moreover, laparoscopic LLS for pediatric LDLT has shown similar short-term outcomes as laparoscopic donor nephrectomy, suggesting that the laparoscopic approach should be considered the new standard practice [24].…”

Section: Laparoscopic Donor Left-side Hepatectomymentioning

confidence: 99%

Expert Panel Statement on Laparoscopic Living Donor Hepatectomy

Han

Cho²,

Kaneko

et al. 2017

Dig Surg

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Background: With improvements in living donor liver transplantation (LDLT) techniques and the increased experience of surgeons in laparoscopic major liver resection, laparoscopic donor hepatectomy is performed increasingly. Therefore, expert opinion on this procedure is required. Objective: The study aimed to report the current status and summarize the expert opinion on laparoscopic donor hepatectomy. Methods: An expert consensus meeting was held on September 8, 2016, in Seoul, Korea. Results: Laparoscopic donor left lateral sectionectomy could be considered the standard practice in pediatric LDLT. In adult LDLT, laparoscopy-assisted donor hepatectomy or left hepatectomy is potentially the next need, requiring more evidence for becoming standard practice. Laparoscopic donor right hepatectomy is still in the developmental stage, and more supporting evidence is required. Waving the cost consideration, the robotic approach could be a valid alternative for the suitable approaches of laparoscopy. Conclusions: Laparoscopic donor hepatectomy is increasing its role in both pediatric and adult LDLT. However, for major donor hepatectomy, more evidence is needed.

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Pure Laparoscopic Left Lateral Sectionectomy in Living Donors

Abstract: The laparoscopic retrieval of the left lateral section for live donor liver transplantation is safe and reproducible and has transitioned from an innovative surgery to a development phase in France.

Cited by 82 publications

References 29 publications

Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

Guidelines for Perioperative Care for Liver Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations

Expert Panel Statement on Laparoscopic Living Donor Hepatectomy

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