Surgical Complications

Goyet, Jean de Ville de; Francesco, Fabrizio di

doi:10.1016/b978-0-323-63671-1.00025-2

Cited by 1 publication

(1 citation statement)

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“…Based on a previous report of LLLS procurements ( 14) it was found that the frequency of multiple biliary branches, which were >50%, was similar in the laparoscopic and open surgery groups. Such results were likely attributable to more trans-umbilical divisions of the liver in the open surgery group (28). The effect of laparoscopic surgery on biliary tract cleavage in our study may be more pronounced under conditions of classical left lateral section procurements.…”

Section: Discussionmentioning

confidence: 61%

Impact of pure laparoscopic surgery on bile duct division of living donor left lateral section procurement

Zhang¹,

Lin²,

Li³

et al. 2023

Hepatobiliary Surg Nutr

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Background: Although laparoscopic living donor left lateral section liver procurements represents an established and safe procedure, there remains much discussion on this topic. In particular, the issue of whether laparoscopic living donor liver procurement increases the difficulty of the surgery and potential complications for recipients continue to confound experts in this field.Methods: In this report, data from 180 cases of living donor left lateral section liver transplantation patients were analyzed retrospectively. Of these 180 cases, 106 grafts were procured by open surgery and 74 by pure laparoscopic surgery.Results: While surgery durations and blood loss were decreased in donors from the laparoscopic surgery group, increased biliary openings of grafts and relatively high peak AST levels were present in both donors and recipients with this procedure.Conclusions: Laparoscopic living donor left lateral section liver procurement represents a safe and effective procedure for both donors and recipients. However, laparoscopic surgery can more frequently lead to multiple biliary tracts in the graft and its impact on the prognosis of recipients remains uncertain. Use of routine X-ray based intraoperative cholangiography may help to reduce this problem.

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Section: Discussionmentioning

confidence: 61%