Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time

Background: Recently, there have been several reports on pure laparoscopic donor right hepatectomy (PLDRH), but the effect of pure laparoscopy on bench surgery has not been evaluated. This study aimed to compare bench-surgery time between PLDRH and conventional donor right hepatectomy (CDRH).Methods...

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Autores principales: Kwangpyo Hong, Suk Kyun Hong, Eui Soo Han, Sanggyun Suh, Su young Hong, Jeong-Moo Lee, YoungRok Choi, Nam-Joon Yi, Kwang-Woong Lee, Kyung-Suk Suh
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Publicado: Frontiers Media S.A. 2021
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Acceso en línea:https://doaj.org/article/4e9fb7acff284546b32ffaceae4344e4
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spelling oai:doaj.org-article:4e9fb7acff284546b32ffaceae4344e42021-11-30T12:03:47ZPure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time2296-875X10.3389/fsurg.2021.771026https://doaj.org/article/4e9fb7acff284546b32ffaceae4344e42021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.771026/fullhttps://doaj.org/toc/2296-875XBackground: Recently, there have been several reports on pure laparoscopic donor right hepatectomy (PLDRH), but the effect of pure laparoscopy on bench surgery has not been evaluated. This study aimed to compare bench-surgery time between PLDRH and conventional donor right hepatectomy (CDRH).Methods: We retrospectively reviewed the medical records of 758 live liver donors between January 2012 and December 2019. We divided the patients into two groups: between January 2012 and September 2015, when we exclusively performed CDRH, and between March 2016 and December 2019, when PLDRH was standardized. We excluded all other types of graft donor hepatectomy, laparoscopic assisted donor hepatectomy, and cases with no recorded data.Results: In total, 267 donors were included in the PLDRH group and were compared with 247 donors in the CDRH group. Similar proportions of graft vascular variations were observed between the two groups. The mean bench-surgery time was longer in the PLDRH group than in the CDRH group (49.3 ± 19.9 vs. 39.5 ± 17.5 min; P < 0.001).Conclusion: The bench-surgery time was longer in the PLDRH group than the CDRH group, regardless of whether the vascular network was reconstructed. Expertise in bench-surgery as well as donor surgery and recipient surgery is mandatory for PLDRH to be safe and feasible.Kwangpyo HongKwangpyo HongSuk Kyun HongEui Soo HanSanggyun SuhSu young HongJeong-Moo LeeYoungRok ChoiNam-Joon YiKwang-Woong LeeKyung-Suk SuhFrontiers Media S.A.articleliver transplantationliving donorhepatectomylaparoscopybench-surgerySurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021)
institution DOAJ
collection DOAJ
language EN
topic liver transplantation
living donor
hepatectomy
laparoscopy
bench-surgery
Surgery
RD1-811
spellingShingle liver transplantation
living donor
hepatectomy
laparoscopy
bench-surgery
Surgery
RD1-811
Kwangpyo Hong
Kwangpyo Hong
Suk Kyun Hong
Eui Soo Han
Sanggyun Suh
Su young Hong
Jeong-Moo Lee
YoungRok Choi
Nam-Joon Yi
Kwang-Woong Lee
Kyung-Suk Suh
Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time
description Background: Recently, there have been several reports on pure laparoscopic donor right hepatectomy (PLDRH), but the effect of pure laparoscopy on bench surgery has not been evaluated. This study aimed to compare bench-surgery time between PLDRH and conventional donor right hepatectomy (CDRH).Methods: We retrospectively reviewed the medical records of 758 live liver donors between January 2012 and December 2019. We divided the patients into two groups: between January 2012 and September 2015, when we exclusively performed CDRH, and between March 2016 and December 2019, when PLDRH was standardized. We excluded all other types of graft donor hepatectomy, laparoscopic assisted donor hepatectomy, and cases with no recorded data.Results: In total, 267 donors were included in the PLDRH group and were compared with 247 donors in the CDRH group. Similar proportions of graft vascular variations were observed between the two groups. The mean bench-surgery time was longer in the PLDRH group than in the CDRH group (49.3 ± 19.9 vs. 39.5 ± 17.5 min; P < 0.001).Conclusion: The bench-surgery time was longer in the PLDRH group than the CDRH group, regardless of whether the vascular network was reconstructed. Expertise in bench-surgery as well as donor surgery and recipient surgery is mandatory for PLDRH to be safe and feasible.
format article
author Kwangpyo Hong
Kwangpyo Hong
Suk Kyun Hong
Eui Soo Han
Sanggyun Suh
Su young Hong
Jeong-Moo Lee
YoungRok Choi
Nam-Joon Yi
Kwang-Woong Lee
Kyung-Suk Suh
author_facet Kwangpyo Hong
Kwangpyo Hong
Suk Kyun Hong
Eui Soo Han
Sanggyun Suh
Su young Hong
Jeong-Moo Lee
YoungRok Choi
Nam-Joon Yi
Kwang-Woong Lee
Kyung-Suk Suh
author_sort Kwangpyo Hong
title Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time
title_short Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time
title_full Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time
title_fullStr Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time
title_full_unstemmed Pure Laparoscopic vs. Open Right Hepatectomy in Living Liver Donors: Bench-Surgery Time
title_sort pure laparoscopic vs. open right hepatectomy in living liver donors: bench-surgery time
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/4e9fb7acff284546b32ffaceae4344e4
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