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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
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Minimally invasive donor hepatectomy, systemic review.
Hwui-Dong Cho1, Benjamin Samstein2, Sulemon Chaundry3
1Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Ulsan University and Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, 138-736, Seoul, Republic of Korea.
International Journal of Surgery (London, England)
|July 3, 2020
Summary
Minimally invasive surgery is advancing for living donor hepatectomies, improving donor safety and graft quality. This approach is crucial for expanding access to life-saving liver transplantation.
Area of Science:
- Hepatobiliary Surgery
- Transplant Surgery
- Minimally Invasive Surgery
Background:
- Living donation is vital for liver transplantation, necessitating a focus on donor safety.
- Minimally invasive techniques have lagged in liver donor surgery compared to kidney donation due to technical challenges.
Purpose of the Study:
- To review the evolution and current status of minimally invasive surgery (MIS) in living donor hepatectomies (LDH).
- To discuss the experiences, lessons learned, and future directions for MIS in LDH.
Main Methods:
- Review of existing literature and center experiences with laparoscopic and minimally invasive living donor hepatectomies.
- Analysis of safety, hemostasis, and graft quality considerations in MIS for LDH.
Main Results:
- Pure minimally invasive left lateral sectionectomy is a standard for pediatric recipients.
- Increasing reports of successful fully minimally invasive hemi-hepatectomies for adult recipients by experienced centers.
Conclusions:
- Minimally invasive approaches are becoming feasible and safe for donor hepatectomies.
- Continued development and adoption of MIS in LDH can enhance donor safety and recipient access to transplantation.
