Pure laparoscopic living donor liver transplantation: Dreams come true

ABSTRACT Minimally invasive approaches are increasingly being applied in surgeries and have recently been used in living donor hepatectomy. We have developed a safe and reproducible method for minimally invasive living donor liver transplantation, which consists of pure laparoscopic explant hepatect...

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Bibliographic Details
Published in:American journal of transplantation 2022-01, Vol.22 (1), p.260-265
Main Authors: Suh, Kyung‐Suk, Hong, Suk Kyun, Lee, Sola, Hong, Su young, Suh, Sanggyun, Han, Eui Soo, Yang, Seong‐Mi, Choi, YoungRok, Yi, Nam‐Joon, Lee, Kwang‐Woong
Format: Article
Language:English
Subjects:
Adult
Blood & organ donations
Cirrhosis
clinical research / practice
Hepatectomy
Hepatocellular carcinoma
Humans
Laparoscopy
Liver
Liver cirrhosis
Liver Neoplasms - surgery
Liver Transplantation
liver transplantation / hepatology
liver transplantation: living donor
Liver transplants
Living Donors
Male
Middle Aged
organ procurement
Surgery
surgical technique
Tissue and Organ Harvesting
Young Adult
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Summary:ABSTRACT Minimally invasive approaches are increasingly being applied in surgeries and have recently been used in living donor hepatectomy. We have developed a safe and reproducible method for minimally invasive living donor liver transplantation, which consists of pure laparoscopic explant hepatectomy and pure laparoscopic implantation of the graft, which was inserted through a suprapubic incision. Pure laparoscopic explant hepatectomy without liver fragmentation was performed in a 60‐year‐old man with alcoholic liver cirrhosis and hepatocellular carcinoma. The explanted liver was retrieved through a suprapubic incision. A modified right liver graft, procured from his 24‐year‐old son using the pure laparoscopic method, was inserted through a suprapubic incision, and implantation was performed intracorporeally throughout the procedure. The time required to remove the liver was 369 min, and the total operative time was 960 min. No complications occurred during or after the surgery. The patient recovered well, and his hospital stay was of 11 days. Pure laparoscopic living donor liver transplantation from explant hepatectomy to implantation was performed successfully. It is a feasible procedure when performed by a highly experienced surgeon and transplantation team. Further studies with larger sample sizes are needed to confirm its safety and feasibility. Pure laparoscopic living donor liver transplantation from explant hepatectomy to implantation is a feasible procedure when performed by a highly experienced surgeon and transplantation team. Cherqui comments on page 5.
ISSN:1600-6135
1600-6143
DOI:10.1111/ajt.16782