1 Division of Liver Transplantation and Hepato-Biliary Surgery, Department of Surgery, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.
Transplantation. 2017 May;101(5):1106-1110. doi: 10.1097/TP.0000000000001637.
Only a limited number of centers have performed laparoscopic living donor hepatectomy to date. In particular, laparoscopic right hepatectomy is rarely performed because the procedure can only be performed by surgeons with significant experience in both laparoscopic liver surgery and liver transplantation with living donor liver grafts.
Between November 2014 and February 2015, in a pure laparoscopic approach program for living right lobe donors at Asan Medical Center, 92 living donors underwent right hepatectomy for adult living donor liver transplantation. Among these, 3 pure laparoscopic living donor right hepatectomies were performed in 3 young female donors.
The intraoperative and postoperative courses for all 3 donors and recipients were uneventful without any complications. Laparoscopic living donor hepatectomy has definite advantages over conventional open surgery, including decreased wound morbidity and faster recovery.
According to the data of the present report, pure laparoscopic living donor right hepatectomy in properly selected living donors (only 4% of potential donors in this cohort) appears to be a safe and feasible procedure in adult living donor liver transplantation.
迄今为止，只有少数中心开展了腹腔镜活体供肝肝切除术。特别是，腹腔镜右半肝切除术很少进行，因为该手术只能由在腹腔镜肝手术和活体供肝肝移植方面具有丰富经验的外科医生来完成。
在 2014 年 11 月至 2015 年 2 月期间，在 Asan 医疗中心的活体右半肝供者的纯腹腔镜入路计划中，92 名活体供者接受了成人活体供肝肝移植的右半肝切除术。其中，有 3 名年轻女性供者进行了 3 例纯腹腔镜活体右半肝切除术。
所有 3 名供者和受者的术中及术后过程均顺利，无任何并发症。与传统的开放性手术相比，腹腔镜活体供肝肝切除术具有明确的优势，包括减少伤口发病率和更快的恢复。
根据本报告的数据，在适当选择的活体供者（本队列中仅占潜在供者的 4%）中进行纯腹腔镜活体右半肝切除术，在成人活体供肝肝移植中似乎是一种安全且可行的手术。
