Long‐Term Safety and Efficacy of Pure Laparoscopic Donor Hepatectomy in Pediatric Living Donor Liver Transplantation

Laparoscopic living donor hepatectomy for transplantation has been well established over the past decade. This study aimed to assess its safety and feasibility in pediatric living donor liver transplantation (LDLT) by comparing the surgical and long‐term survival outcomes on both the donor and recip...

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Bibliographic Details
Published in:Liver transplantation 2021-04, Vol.27 (4), p.513-524
Main Authors: Kim, Wan‐Joon, Kim, Ki‐Hun, Cho, Hwui‐Dong, Namgoong, Jung‐Man, Hwang, Shin, Park, Jeong‐Ik, Lee, Sung‐Gyu
Format: Article
Language:English
Subjects:
ABO system
Adolescent
Child
Donors
Hepatectomy
Hepatectomy - adverse effects
Humans
Laparoscopy
Laparoscopy - adverse effects
Liver
Liver transplantation
Liver Transplantation - adverse effects
Liver transplants
Living Donors
Medical records
Original
Patients
Pediatrics
Survival
Tissue and Organ Harvesting
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Summary:Laparoscopic living donor hepatectomy for transplantation has been well established over the past decade. This study aimed to assess its safety and feasibility in pediatric living donor liver transplantation (LDLT) by comparing the surgical and long‐term survival outcomes on both the donor and recipient sides between open and laparoscopic groups. The medical records of 100 patients (≤17 years old) who underwent ABO‐compatible LDLT using a left lateral liver graft between May 2008 and June 2016 were analyzed. A total of 31 donors who underwent pure laparoscopic hepatectomy and their corresponding recipients were included in the study; 69 patients who underwent open living donor hepatectomy during the same period were included as a comparison group. To overcome bias from the different distributions of covariables among the patients in the 2 study groups, a 1:1 propensity score matching analysis was performed. The mean follow‐up periods were 92.9 and 92.7 months in the open and laparoscopic groups, respectively. The mean postoperative hospital stay of the donors was significantly shorter in the laparoscopic group (8.1 days) than in the open group (10.6 days; P 
ISSN:1527-6465
1527-6473
DOI:10.1002/lt.25910