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Updated: Jan 30, 2026
04:23
Application of Hemostatic Devices in Laparoscopic Hepatectomy
Published on: April 19, 2022
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Laparoscopic right hepatectomy for living donor
Choon Hyuck David Kwon1, Gyu-Seong Choi2, Jae-Won Joh2
1Department of General Surgery, Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Current Opinion in Organ Transplantation
|January 25, 2019
Summary
Purely laparoscopic right hepatectomy (PLRH) shows promising results comparable to open surgery for adult living donors. Implementing a structured approach with proctorship and standardization is key for safe program development.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgery
- Organ transplantation
Background:
- Purely laparoscopic right hepatectomy (PLRH) is emerging for adult living donor liver transplantation.
- Limited global experience exists, necessitating a review of current practices and future directions.
Purpose of the Study:
- To review the current status of PLRH in adult living donor recipients.
- To discuss technical aspects crucial for safe PLRH procedures.
- To outline strategies for establishing safe and reproducible PLRH programs.
Main Methods:
- Review of recent publications on PLRH.
- Analysis of technical considerations for laparoscopic hepatectomy.
- Discussion of program development strategies.
Main Results:
- Recent studies indicate PLRH outcomes are comparable to open donor hepatectomy in experienced hands.
- Growing experience in laparoscopic liver surgery and transplantation supports wider adoption of PLRH.
Conclusions:
- PLRH is a viable option for adult living donors, with outcomes comparable to open surgery.
- Institutions should adopt a phased implementation including proctorship, standardized procedures, and donor selection criteria.
- A systematic approach is essential for a safe transition to PLRH programs.
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