Pure laparoscopic living donor right hepatectomy (with video)

Area of Science:

• Hepatobiliary Surgery
• Minimally Invasive Surgery
• Transplantation Surgery

Background:

• Adult-to-adult living donor liver transplantation frequently utilizes right lobe grafts due to volume requirements.
• Pure laparoscopic right hepatectomy is technically challenging, limiting its widespread adoption.
• Advances in laparoscopic liver surgery are improving feasibility and safety.

Observation:

• This video demonstrates the surgical technique for a pure laparoscopic right hepatectomy.
• The procedure was performed on a 30-year-old female living liver donor.
• The donation was for her brother.

Findings:

• Pure laparoscopic right hepatectomy is feasible and safe in selected donors.
• Requires significant surgical expertise in both laparoscopic liver surgery and living donor liver transplantation.
• Minimally invasive approach offers potential benefits for donor recovery.

Implications:

• Increased adoption of pure laparoscopic right hepatectomy could expand living donor liver transplantation options.
• Highlights the importance of specialized training and experience for complex laparoscopic procedures.
• May lead to improved outcomes and reduced morbidity for living liver donors.