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Related Concept Videos

Kidney Transplant I: Introduction01:28

Kidney Transplant I: Introduction

537
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
537

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Application of Hemostatic Devices in Laparoscopic Hepatectomy
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Expert Panel Statement on Laparoscopic Living Donor Hepatectomy.

Ho-Seong Han1, Jai Young Cho, Hironori Kaneko

  • 1Seoul National University Bundang Hospital, Seongnam, South Korea.

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|October 20, 2017
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Summary

Laparoscopic donor hepatectomy is becoming more common in living donor liver transplantation (LDLT). While standard for pediatric cases, adult major hepatectomy requires more evidence for widespread adoption.

Keywords:
ConsensusLiver transplantationMinimal invasive surgeryRecommendation

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Area of Science:

  • Minimally invasive surgical techniques in transplantation.
  • Advancements in laparoscopic liver surgery.

Background:

  • Increasing adoption of laparoscopic techniques in living donor liver transplantation (LDLT).
  • Growing surgeon experience in laparoscopic major liver resections necessitates expert consensus.

Framework:

  • Expert consensus meeting convened on September 8, 2016, in Seoul, Korea.
  • Focus on current status and expert opinions regarding laparoscopic donor hepatectomy.

Implementation:

  • Laparoscopic donor left lateral sectionectomy is standard for pediatric LDLT.
  • Laparoscopy-assisted donor hepatectomy or left hepatectomy shows promise for adult LDLT, pending further evidence.
  • Laparoscopic donor right hepatectomy is under development, requiring more supporting data.
  • Robotic approach considered a viable alternative to laparoscopy, irrespective of cost.

Implications:

  • Laparoscopic donor hepatectomy is expanding its role in pediatric and adult LDLT.
  • Further research is crucial to establish standard practices for major laparoscopic donor hepatectomy.