Details

Autor(en) / Beteiligte

• Kim, K. H.
• Jung, D. H.
• Park, K. M.
• Lee, Y. J.
• Kim, D. Y.
• Kim, K. M.
• Lee, S. G.

Titel

Comparison of open and laparoscopic live donor left lateral sectionectomy

Ist Teil von

• British journal of surgery, 2011-09, Vol.98 (9), p.1302-1308

Ort / Verlag

Chichester, UK: John Wiley & Sons, Ltd

Erscheinungsjahr

2011

Quelle

Wiley-Blackwell Journals

Beschreibungen/Notizen

• Background: The present study was undertaken to determine whether laparoscopic live donor left lateral sectionectomy (LLS) in paediatric liver transplantation is a feasible, safe and reproducible procedure, compared with open live donor left lateral sectionectomy (OLS). Methods: A retrospective review was conducted of all consecutive live donor procedures for paediatric liver transplantation performed between May 2008 and October 2009. All live donor hepatectomies were carried out by a single surgeon. Results: A total of 26 live donor procedures for paediatric liver transplantation were performed, of which 11 were LLS and 11 OLS; four left hepatectomies were excluded. The LLS group had a significantly shorter hospital stay (mean(s.d.) 6·9(0·3) versus 9·8(0·9) days; P = 0·001) and time to oral diet (2·1(0·3) versus 2·7(0·4) days; P = 0·012). Duration of operation, blood loss, warm ischaemia time and out‐of‐pocket medical costs were comparable between groups. There was no death in either donor group and only one complication, a wound seroma, in the OLS group. Conclusion: LLS seemed to be a safe, feasible and reproducible procedure, and was associated with reduced hospital stay. Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd. Laparoscopic approach is feasible and safe