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Pure Laparoscopic Donor Hepatectomy for Living Donor Liver Transplantation Using Selective Liver Parenchymal Hanging Maneuver and Rubber Band Retraction Technique- Early Experience
( Jin Hong Lim ) , ( Dong Sup Yoon ) , ( Man Ki Ju )
UCI I410-ECN-0102-2021-500-001337147
이 자료는 4페이지 이하의 자료입니다.

Aims: Most important concern in living donor liver transplantation is donor safety. At the same time, pure laparoscopic donor hepatectomy is being increasingly performed in experienced center although technical difficulties. The aim of this study was to introduce usefulness of selective liver parenchymal hanging maneuver and rubber band retraction technique for pure laparoscopic donor hepatectomy. Methods: We retrospectively reviewed perioperative data from 19 patients who underwent pure laparoscopic donor hepatectomy. In all procedure, after mobilization of liver, liver parenchymal Transection plane was straightly exposed using rubber band retraction technique. silastic drain for hanging maneuver was pulled up behind the hepatic hilum for the selective liver parenchymal hanging maneuver. after parenchyma transaction was completed, graft side bile duct, hepatic artery and portal vein was divided. hepatic vein ligated and divided using endo GIA. Graft liver was procured via transverse suprapubic incision. Results: The overall median operation time was 351 min (range 280-482 min), and the volume of blood loss was 412 mL (150- 600 mL). The warm ischemic time was 10 min (7-17 min). A conversion to open procedure and more than grade III complication according to the Clavien-Dindo classification was not occurred. Conclusions: selective liver parenchymal hanging maneuver and rubber band retraction technique is easy to apply and leads to successful pure laparoscopic procedure for donor hepatectomy. Our results demonstrate the safety and feasibility of this technique.

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