Detailed Abstract
[Plenary - Transplantation]
[PL 2] Feasibility of total laparoscopic living donor right hepatectomy compared with open surgery: Comprehensive review of 100 laparoscopic cases
Jinsoo RHU, Gyu Seong CHOI, Jong Man KIM, Jae-Won JOH, Choon Hyuck KWON
Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea, Korea
Introduction : We designed this study to analyze the feasibility of laparoscopic living donor hepatectomy compared to open living donor hepatectomy.
Methods : Donors who underwent living donor right or extended right hemihepatectomy by laparoscopy or open surgery from May 2013 to October 2017 were included in the study. Comparisons between laparoscopic surgery and open surgery were performed.
Results : During the study period 305 patients underwent living donor right hemihepatectomy or extended right hemihepatectomy. Of these, 100 underwent laparoscopic surgery and 205 underwent open surgery. The laparoscopy group (30.9?1.2 years) had significantly younger age than the open group (34.5?2.3 years, P=0.014). The laparoscopy group mostly had type 1 (95.0%) bile duct and 81% had single bile duct in liver grafts, compared with 59.5% type 1 bile duct and 59.5% with single bile duct in the open group. The laparoscopy group had significantly longer operation time (378.2 ?93.5 minutes vs. 329.1 ?68.0 minutes, P
Conclusions : When selected cautiously, laparoscopic living donor hepatectomy can be performed safely with similar outcome to open surgery. However, it should be performed by a highly experienced surgeon
Methods : Donors who underwent living donor right or extended right hemihepatectomy by laparoscopy or open surgery from May 2013 to October 2017 were included in the study. Comparisons between laparoscopic surgery and open surgery were performed.
Results : During the study period 305 patients underwent living donor right hemihepatectomy or extended right hemihepatectomy. Of these, 100 underwent laparoscopic surgery and 205 underwent open surgery. The laparoscopy group (30.9?1.2 years) had significantly younger age than the open group (34.5?2.3 years, P=0.014). The laparoscopy group mostly had type 1 (95.0%) bile duct and 81% had single bile duct in liver grafts, compared with 59.5% type 1 bile duct and 59.5% with single bile duct in the open group. The laparoscopy group had significantly longer operation time (378.2 ?93.5 minutes vs. 329.1 ?68.0 minutes, P
Conclusions : When selected cautiously, laparoscopic living donor hepatectomy can be performed safely with similar outcome to open surgery. However, it should be performed by a highly experienced surgeon
SESSION
Plenary
Room A 3/31/2018 11:00 AM - 11:50 AM