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Laparoscopy‐assisted hepatectomy versus conventional (open) hepatectomy for living donors: When you know better, you do better
Author(s) -
Makki Kausar,
Chorasiya Vishal Kumar,
Sood Gaurav,
Srivastava Piyush Kumar,
Dargan Puneet,
Vij Vivek
Publication year - 2014
Publication title -
liver transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.814
H-Index - 150
eISSN - 1527-6473
pISSN - 1527-6465
DOI - 10.1002/lt.23940
Subject(s) - medicine , hepatectomy , laparoscopy , surgery , abdomen , resection
The conventional incision for donor hepatectomy is a right subcostal incision with a midline extension. With increased experience in both donor hepatectomy and laparoscopy, the conventional incision can be shortened to a significant extent. Laparoscopic mobilization of the liver coupled with a hand port allows the insertion of one hand inside the abdomen for control; this makes small‐incision donor hepatectomy a technically feasible alternative. We compared 26 right lobe donor hepatectomies performed with a laparoscopy‐assisted technique (the laparoscopy‐assisted donor hepatectomy group) to 24 donor hepatectomies performed with the conventional open technique (the conventional donor hepatectomy group). The donors in both groups and their recipients were followed for 6 months. Pain, discomfort related to the scar [including abdominal wall sensorineural deficits (numbness and differences in tactile and temperature sensations) and tightness around the scar], and donor quality of life (assessed with the International Quality of Life Assessment Short Form 8 scoring system) were compared between the 2 groups. In conclusion, laparoscopy‐assisted surgery can be a technically feasible alternative in experienced hands, and as with other minimally invasive surgeries, it has advantages such as significantly less pain, reduced incision‐related complications, and better donor quality of life during the early postoperative period without compromising donor safety. Liver Transpl 20:1229–1236, 2014 . © 2014 AASLD.