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Related Experiment Video

Updated: Mar 19, 2026

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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Donor Left-Sided Heptectomy by Use of the Real-Time Moving Windows Method With 8-Centimeter Transverse Skin Incision.

Y Sato1, K Nakahara1, M Shimada1

  • 1Digestive Disease Center, Showa University Yokohama Northern Hospital, Yokohama City, Kanagawa Prefecture, Japan.

Transplantation Proceedings
|June 21, 2016
PubMed
Summary
This summary is machine-generated.

This study introduces the real-time moving windows (RTMW) method for open donor liver surgery. The RTMW technique offers a safe, cosmetic, and cost-effective approach for left-sided hepatectomy in living donors.

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Area of Science:

  • Surgical Innovation
  • Minimally Invasive Techniques

Background:

  • Evaluating a novel device for open donor liver surgery, specifically left-sided hepatectomy.
  • Focusing on the real-time moving windows (RTMW) method utilizing an 8-cm transverse skin incision.
  • Assessing cosmetic, economic, and safety aspects for living donors.

Observation:

  • The procedure involved an 8-cm transverse skin incision followed by a reverse T-shaped abdominal incision.
  • Utilized Kent hooks and surgical arms for exposure of hepatic vein, hilus, and common hepatic artery via RTMW.
  • Employed CUSA and laparosonic coagulating shears for hepatic parenchymal dissection.

Findings:

  • The operative procedure was successfully performed without laparoscopic techniques.
  • Total operative time was 7 hours with no requirement for blood transfusion.
  • The patient experienced an uneventful recovery and was discharged on postoperative day 11.

Implications:

  • The RTMW method is a valuable technique for donor left-sided hepatectomy.
  • Demonstrates significant advantages in donor safety, cosmetic outcomes, and cost-effectiveness.
  • Highlights potential for improved donor experience in liver transplantation procedures.