Laparoscopic-assisted right lobe donor hepatectomy

A. J. Koffron*, R. Kung, T. Baker, J. Fryer, L. Clark, M. Abecassis

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

163 Scopus citations

Abstract

The major impediment to a wider application of living donor hepatectomy, particularly of the right lobe, is its associated morbidity. The recent interest in a minimally invasive approach to liver surgery has raised the possibility of applying these techniques to living donor right lobectomy. Herein, we report the first case of a laparoscopic, hand-assisted living donor right hepatic lobectomy. We describe the technical aspects of the procedure, and discuss the rationale for considering this option. We propose that the procedure, as described, did not increase the operative risks of the procedure; instead, it decreased potential morbidity. We caution that this procedure should only be considered for select donors, and that only surgical teams familiar with both living donor hepatectomy and laparoscopic liver surgery should entertain this possibility.

Original languageEnglish (US)
Pages (from-to)2522-2525
Number of pages4
JournalAmerican Journal of Transplantation
Volume6
Issue number10
DOIs
StatePublished - Oct 2006

Keywords

  • Laparoscopic
  • Minimally invasive surgery
  • Right lobe donor

ASJC Scopus subject areas

  • Transplantation
  • Pharmacology (medical)
  • Immunology and Allergy

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