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Updated: Apr 27, 2026
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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
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Total laparoscopic living donor right hepatectomy
Ho-Seong Han1, Jai Young Cho, Yoo-Seok Yoon
1Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-dong, Bundang-gu, Seongnam-si, 463-707, Gyeonggi-do, Republic of Korea.
Surgical Endoscopy
|July 5, 2014
Summary
Total laparoscopic donor right hepatectomy (LDRH) is a feasible procedure for adult living liver donation. This minimally invasive technique offers a new option for LDLT, meeting donor demands and improving outcomes.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Organ Transplantation
Background:
- Right lobe living donor liver transplantation (LDLT) is the most common form of adult-to-adult LDLT.
- Increasing demand from young donors for cosmetic and functional reasons.
- Development of total laparoscopic donor right hepatectomy (LDRH) for adult living donors.
Purpose of the Study:
- To report the world's first total laparoscopic donor right hepatectomy (LDRH) in adult living donors.
- To evaluate the feasibility and outcomes of this minimally invasive approach.
Main Methods:
- Total LDRH performed in two young donors without vascular clamping.
- Modified extended right graft retrieved through a suprapubic transverse incision.
- Meticulous dissection of hepatic vasculature and reconstruction of anterior section vein branches.
Main Results:
- Successful retrieval of a modified extended right graft with preserved middle hepatic vein branches.
- No complications in donors or recipients.
- Short postoperative hospital stays (10 and 8 days) for donors.
- Successful long-term outcomes with normal liver function in all donors and recipients.
Conclusions:
- Total LDRH is a feasible procedure in selected adult living donors.
- Standardization of total LDRH could offer a new option for adult LDLT.
- This technique addresses donor demands and recipient concerns.
