Detailed Abstract
[E-poster]
[EP035] Single surgeon’s initial experience with 100 cases of pure laparoscopic donor right hepatectomy
Eui Soo HAN, Kwang-Woong LEE*, Kwang Pyo HONG, Jeong-Moo LEE, Suk Kyun HONG, Nam-Joon YI, Kyung-Suk SUH
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea, Korea
Introduction : Pure laparoscopic donor right hepatectomy (PLDRH) is the complex procedure. Safety and feasibility of this operation are the major concerns. The aim of this study is to evaluate the clinical outcomes and learning curve of this operation by single surgeon.
Methods : We reviewed initial 100 donors who underwent PLDRH by single surgeon from December 2015 to May 2019 retrospectively. Endpoints analysed including intraoperative results, postoperative complications and learning curve. All operations were performed by a single surgeon with considerable experience in open living donor hepatectomy.
Results : Mean operative time of 100 PLDRH is 224.5±68.9 min. None of the donors needed either intraoperative transfusion or intensive care unit admission. There was no open conversion case. Overall complication rate was 5%. Operative time and graft extraction time were significantly shorter in the last group compare to the initial group (272.2±62.4 vs. 176.8±32.3 min, ; 182.5±35.5 vs. 120.5.9±29.2 min, p < 0.001). Moreover, the length of hospital stay in the last group was significantly reduced compare to the initial group (7.0±2.3 vs. 5.8±1.5, p = 0.002). The complication rate reduced from 8% in initial group to 2% in last group. From initial 100 cases of PLDRH, we experienced two cases of reoperation. The first case was intraabdominal bleeding and the other case was donor’s left hepatic duct stenosis.
Conclusions : Laparoscopic living donor right hepatectomy is safe and feasible after overcoming the learning curve for expert surgeon.
Methods : We reviewed initial 100 donors who underwent PLDRH by single surgeon from December 2015 to May 2019 retrospectively. Endpoints analysed including intraoperative results, postoperative complications and learning curve. All operations were performed by a single surgeon with considerable experience in open living donor hepatectomy.
Results : Mean operative time of 100 PLDRH is 224.5±68.9 min. None of the donors needed either intraoperative transfusion or intensive care unit admission. There was no open conversion case. Overall complication rate was 5%. Operative time and graft extraction time were significantly shorter in the last group compare to the initial group (272.2±62.4 vs. 176.8±32.3 min, ; 182.5±35.5 vs. 120.5.9±29.2 min, p < 0.001). Moreover, the length of hospital stay in the last group was significantly reduced compare to the initial group (7.0±2.3 vs. 5.8±1.5, p = 0.002). The complication rate reduced from 8% in initial group to 2% in last group. From initial 100 cases of PLDRH, we experienced two cases of reoperation. The first case was intraabdominal bleeding and the other case was donor’s left hepatic duct stenosis.
Conclusions : Laparoscopic living donor right hepatectomy is safe and feasible after overcoming the learning curve for expert surgeon.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY