Totally laparoscopic right-lobe hepatectomy for adult living donor liver transplantation: useful strategies to enhance safety

Am J Transplant. 2013 Dec;13(12):3269-73. doi: 10.1111/ajt.12471. Epub 2013 Oct 8.

Abstract

The overriding concern in living donor liver transplantation is donor safety. A totally laparoscopic right hepatectomy without middle hepatic vein for adult living donor liver transplantation is presented. The surgical procedure is described in detail, focusing on relevant technical aspects to enhance donor safety, specifically the hanging maneuver and dynamic fluoroscopy-controlled bile duct division.

Keywords: Adult; laparoscopy; live donor transplantation; liver transplantation; right lobe donor hepatectomy; right lobe graft.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aged
  • Bile Ducts / surgery
  • Fibrosis / therapy
  • Fluoroscopy
  • Hepatectomy / methods*
  • Humans
  • Laparoscopy / methods*
  • Liver / surgery
  • Liver Transplantation*
  • Living Donors
  • Male
  • Patient Safety
  • Portal Vein / surgery
  • Tissue and Organ Harvesting / methods*
  • Treatment Outcome