Detailed Abstract
[E-poster]
[EP037] Pure laparoscopic donor right hepatectomy for large right hemi-liver graft: Does it has a limit?
Worakitti LAPISATEPUN1, 2, Suk kyun HONG*2, Kyung Suk SUH2, Nam Joon YI2, Kwang Woong LEE2, Jeong Moo LEE2
1Surgery, Seoul National University Hospital, Korea
2Surgery, Chiang Mai university, Thailand
Introduction : Even though the number of pure laparoscopic donor right hepatectomy (PLDRH) is increasing worldwide, there are several limitations for this procedure including graft size. We aim to evaluate the influence of large right hemi-liver graft (≥1,000 gram) on clinical outcomes.
Methods : We retrospectively reviewed all records of living donors who underwent PLDRH and Open donor right hepatectomy (ODRH) in our institute from January 2010 to August 2019. The donors were separated in to three groups: PLDRH graft ≥ 1,000 grams(n=10), PLDRH graft < 1,000 grams(n=280; control I) and ODRH graft ≥ 1,000 grams(n=24; control II). Clinical outcomes among three groups were compared.
Results : PLDRH for graft ≥ 1,000 gram had significant longer warm ischemic time and total operative time compare to control I (P<0.001 and =0.018) and control II (P<0.000 and =0.016), respectively. Overall postoperative complications of donor were not significance difference between PLDRH for graft ≥ 1,000 grams compare to control I (P=0.068) and control II (P=0.527). Long-term recipient survival was not significnat differece among three groups.
Conclusions : PLDRH for graft ≥ 1,000 grams was safe and feasible when performed by experienced center. Moreover, the result was comparable to ODRH for graft ≥ 1,000 grams. Finally, long-term survival of recipients was neither inferior to smaller graft nor ODRH.
Methods : We retrospectively reviewed all records of living donors who underwent PLDRH and Open donor right hepatectomy (ODRH) in our institute from January 2010 to August 2019. The donors were separated in to three groups: PLDRH graft ≥ 1,000 grams(n=10), PLDRH graft < 1,000 grams(n=280; control I) and ODRH graft ≥ 1,000 grams(n=24; control II). Clinical outcomes among three groups were compared.
Results : PLDRH for graft ≥ 1,000 gram had significant longer warm ischemic time and total operative time compare to control I (P<0.001 and =0.018) and control II (P<0.000 and =0.016), respectively. Overall postoperative complications of donor were not significance difference between PLDRH for graft ≥ 1,000 grams compare to control I (P=0.068) and control II (P=0.527). Long-term recipient survival was not significnat differece among three groups.
Conclusions : PLDRH for graft ≥ 1,000 grams was safe and feasible when performed by experienced center. Moreover, the result was comparable to ODRH for graft ≥ 1,000 grams. Finally, long-term survival of recipients was neither inferior to smaller graft nor ODRH.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY