Korean J Hepatobiliary Pancreat Surg.  2012 May;16(2):47-54. 10.14701/kjhbps.2012.16.2.47.

Laparoscopic living donor hepatectomy

• Kim KH
• Yu YD
• Jung DH
• Ha TY
• Song GW
• Park GC
• Hwang S
• Lee SG

• KMID: 2083322
• DOI: http://doi.org/10.14701/kjhbps.2012.16.2.47

Abstract

Shortage of deceased donor organs led to establishment of living donor liver transplantation. Recent reports have strongly suggested that laparoscopic approach should be the gold standard for lesions in the left lateral section. Laparoscopic living donor left lateral sectionectomy was first described in 2002. Subsequently, laparoscopic procurement of left lateral sections was shown to be safe and reproducible, resulting in grafts similar to those obtained with open surgery. In 2006, laparoscopy-assisted right lobe donor hepatectomy was reported. To date, however, only a small number of liver transplant centers have performed laparoscopic donor hepatectomy because the procedure can be performed only by surgical teams with extensive expertise in performing both minimally invasive surgery on the liver and liver transplantation with partial and living donor liver grafts. Herein, we describe the details of laparoscopic living donor hepatectomy including total laparoscopic surgery and laparoscopy-assisted surgery.

Keyword

Laparoscopic surgery; Laparoscopy-assisted surgery; Donor hepatectomy; Living donor liver transplantation

MeSH Terms

Hepatectomy
Humans
Laparoscopy
Liver
Liver Transplantation
Living Donors
Tissue Donors
Transplants

Reference

1. Cherqui D, Soubrane O, Husson E, et al. Laparoscopic living donor hepatectomy for liver transplantation in children. Lancet. 2002. 359:392–396.

2. Kim KH, Jung DH, Park KM, et al. Comparison of open and laparoscopic live donor left lateral sectionectomy. Br J Surg. 2011. 98:1302–1308.

3. Soubrane O, Cherqui D, Scatton O, et al. Laparoscopic left lateral sectionectomy in living donors: safety and reproducibility of the technique in a single center. Ann Surg. 2006. 244:815–820.

4. Suh KS, Yi NJ, Kim T, et al. Laparoscopy-assisted donor right hepatectomy using a hand port system preserving the middle hepatic vein branches. World J Surg. 2009. 33:526–533.

5. Troisi R, Debruyne R, Rogiers X. Laparoscopic living donor hepatectomy for pediatric liver transplantation. Acta Chir Belg. 2009. 109:559–562.

6. Koffron AJ, Kung R, Baker T, et al. Laparoscopic-assisted right lobe donor hepatectomy. Am J Transplant. 2006. 6:2522–2525.

7. Baker TB, Jay CL, Ladner DP, et al. Laparoscopy-assisted and open living donor right hepatectomy: a comparative study of outcomes. Surgery. 2009. 146:817–823.

8. Wakabayashi G, Nitta H, Takahara T, et al. Standardization of basic skills for laparoscopic liver surgery towards laparoscopic donor hepatectomy. J Hepatobiliary Pancreat Surg. 2009. 16:439–444.