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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
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Upper midline incision for living donor right hepatectomy
Manoj K Singh1, Nir Lubezky1, Matias Facciuto1
1Recanati/Miller Transplantation Institute, Mount Sinai Medical Center, New York, NY, USA.
Clinical Transplantation
|June 14, 2016
Summary
A limited upper midline incision (UMI) for living donor right hepatectomy is safe and effective. This approach reduces donor morbidity, increasing access to liver transplantation.
Area of Science:
- Surgical Innovation
- Transplantation Medicine
- Minimally Invasive Surgery
Background:
- Living donor liver transplantation enhances access to this life-saving procedure.
- Minimizing surgical incision size in living donors can reduce post-operative complications and encourage donation.
- This study evaluates the efficacy of a limited upper midline incision (UMI) for living donor right hepatectomy.
Purpose of the Study:
- To assess the safety and feasibility of performing living donor right hepatectomy using a limited upper midline incision (UMI).
- To evaluate donor outcomes and complications associated with the UMI approach.
Main Methods:
- Prospective data collection from 58 consecutive living liver donors undergoing right hepatectomy via UMI.
- Standardized surgical technique focusing on a limited upper midline incision.
Main Results:
- Mean incision length was 11.7 cm.
- Average hospital stay was 6 days.
- Low rates of major complications (Clavien grade I/II: 10/11), with 3 incisional hernias requiring repair.
Conclusions:
- Living donor right hepatectomy can be safely performed using a limited upper midline incision.
- The UMI approach offers a single-exposure technique comparable to laparoscopic methods.
- This technique may improve donor experience and increase liver donation rates.
