Detailed Abstract
[E-poster]
[EP043] Living donor Hepatectomy using Minimal incision: an experience of consecutive 63 cases by a single surgeon
Byeong-Gon NA, Dong-Hwan JUNG*, Yong-Kyu CHUNG, Sang-Hyun KANG, I-Ji JEONG, Jin-Uk CHOI, Min-Jae KIM, Sang-Hoon KIM, Hwui-Dong CHO, Young-In YOON, Shin HWANG, Ki-Hun KIM, Chul-Soo AHN, Deok-Bog MOON, Tae-Yong HA, Gi-Won SONG, Sung-Gyu LEE
Division of Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Korea
Introduction : Living donor hepatectomy (LDH) is performed widely as a part of living donor liver transplantation. The type and length of incision have been considered important because of the quality of life, such as the cosmetic effect. We describe herein the minimal incision for LDH to evaluate the safety and feasibility.
Methods : We enrolled 63 consecutive cases of donor hepatectomy using a subcostal or upper midline minimal (9-12cm) incision depending on graft type and size between Jul and Dec in 2019 at a single center. Donor demographics, preoperative data, and postoperative outcomes were analyzed.
Results : The mean age of the donors was 32.8 ± 10.3 yrs, and 32 (50.8%) donors were male. The mean operation time was 400.5 ± 69.5 minutes and the mean hospital stay was 9.4 ± 3.7 days. The graft types comprised 52 (82.5%) of the modified right lobe, 6 (9.5%) of the modified extended right lobe, and 5 (7.9%) of the extended left lobe. The portal vein types were I, II, and III in 59 (93.7%), 1 (1.6%), and 3 (4.8%), respectively. The bile duct types were A, B, C1, and C2 in 46 (73.0%), 8 (12.7%), 3 (4.8%), and 6 (9.5%). There were one (0.02%) case of bile leakage, and one (0.02%) case of abdominal wall bleeding postoperatively.
Conclusions : LDH using minimal incision was a safe and feasible option showing an acceptable incidence of complications despite anatomical variations.
Methods : We enrolled 63 consecutive cases of donor hepatectomy using a subcostal or upper midline minimal (9-12cm) incision depending on graft type and size between Jul and Dec in 2019 at a single center. Donor demographics, preoperative data, and postoperative outcomes were analyzed.
Results : The mean age of the donors was 32.8 ± 10.3 yrs, and 32 (50.8%) donors were male. The mean operation time was 400.5 ± 69.5 minutes and the mean hospital stay was 9.4 ± 3.7 days. The graft types comprised 52 (82.5%) of the modified right lobe, 6 (9.5%) of the modified extended right lobe, and 5 (7.9%) of the extended left lobe. The portal vein types were I, II, and III in 59 (93.7%), 1 (1.6%), and 3 (4.8%), respectively. The bile duct types were A, B, C1, and C2 in 46 (73.0%), 8 (12.7%), 3 (4.8%), and 6 (9.5%). There were one (0.02%) case of bile leakage, and one (0.02%) case of abdominal wall bleeding postoperatively.
Conclusions : LDH using minimal incision was a safe and feasible option showing an acceptable incidence of complications despite anatomical variations.
SESSION
E-poster
E-Session 7/27 ~ 7/29 ALL DAY