Ann Hepatobiliary Pancreat Surg.  2024 Aug;28(3):337-343. 10.14701/ahbps.24-020.

Donor body mass index over 30 is no barrier for pure laparoscopic donor right hepatectomy

• Hong SK
• Kim M
• Kim Y
• Kim JY
• Lee J
• Kim J
• Hong SY
• Lee JM
• Choi Y
• Yi NJ
• Lee KW
• Suh KS

• KMID: 2558657
• DOI: http://doi.org/10.14701/ahbps.24-020

Abstract

Backgrounds/Aims
Challenges arise when translating pure laparoscopic donor right hepatectomy (PLDRH) results from Asian to Western donors, due to differences in body mass index (BMI). This study compares the outcomes of PLDRH and conventional open donor right hepatectomy (CDRH) in donors with BMI over 30.
Methods
Medical records of live liver donors (BMI > 30) undergoing right hepatectomy (2010−2021) were compared: 25 PLDRH cases vs. 19 CDRH cases. Donor and recipient demographics, operative details, and outcomes were analyzed.
Results
PLDRH and CDRH had similar donor and recipient characteristics. PLDRH had longer liver removal and warm ischemic times, but a shorter post-liver removal duration than CDRH. Donor complication rates were comparable, with the highest complication being grade IIIa in PLDRH, necessitating needle aspiration for biloma on postoperative day 11. Fortunately, this donor fully recovered without additional treatment. No complications exceeding Clavien–Dindo grade IIIa occurred in either group. Recipient outcomes between the groups were similar.
Conclusions
This study supports PLDRH as a viable option for donors with BMI over 30, challenging the notion that high BMI should deter considering PLDRH. The findings provide valuable insights into the safety and feasibility of PLDRH, encouraging further exploration of this technique in diverse donor populations.

Keyword

Living donor; Laparoscopy; Hepatectomy; Body mass index; Safely

Figure

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  Fig. 1 Kaplan–Meier analysis of overall survival. PLDRH, pure laparoscopic donor right hepatectomy; CDRH, conventional open donor right hepatectomy; LT, liver transplantation.

Reference

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