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Laparoscopic left lateral section procurement in living liver donors: A single center propensity score‐matched study
Author(s) -
Gautier Sergey,
Monakhov Artem,
Gallyamov Eduard,
Tsirulnikova Olga,
Zagaynov Evgeny,
Dzhanbekov Timur,
Semash Konstantin,
Khizroev Khizry,
Oleshkevich Denis,
Chekletsova Elena
Publication year - 2018
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1111/ctr.13374
Subject(s) - medicine , single center , surgery , living donor liver transplantation , laparoscopy , liver transplantation , propensity score matching , transplantation
Background Laparoscopic living donor liver procurement for transplantation has increased in popularity over the past decade. The purpose of this study was to compare the laparoscopic and open approaches in living donor left lateral sectionectomy ( LLS ) and to assess the safety and feasibility of this laparoscopic approach. Methods A total of 103 living donor LLS s were performed at our center from May 2016 to December 2017. Of these, 35 were completely laparoscopic procedures, which represented the subject of this study. An additional 68 open living donor LLS s performed during the same period were studied as a comparison group. To overcome selection bias, LLS donors were balanced on a 1:1 ratio (laparoscopic [n = 35]: open [n = 35]) according to covariates with similar values. The PSM was based on the operation date, recipient age, diagnosis, recipient weight, and donor age. Results There were significant differences between the laparoscopic and open LLS groups ( P < 0.001) in terms of blood loss (96.8 ± 16.5 vs 155.8 ± 17.8 mL) as well as the duration of hospital stay (4 ± 0.4 vs 6.9 ± 0.5 days). Conclusion Laparoscopic LLS is a feasible and efficacious in the setting of a developed program with advanced laparoscopic expertise.