Laparoscopic-Assisted Right Lobe Donor Hepatectomy

Authors: Koffron, A.J.; Kung, R.¹; Baker, T.¹; Fryer, J.¹; Clark, L.²; Abecassis, M.¹

Source: American Journal of Transplantation, Volume 6, Number 10, October 2006 , pp. 2522-2525(4)

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Abstract:

The major impediment to a wider application of living donor hepatectomy, particularly of the right lobe, is its associated morbidity. The recent interest in a minimally invasive approach to liver surgery has raised the possibility of applying these techniques to living donor right lobectomy. Herein, we report the first case of a laparoscopic, hand-assisted living donor right hepatic lobectomy. We describe the technical aspects of the procedure, and discuss the rationale for considering this option. We propose that the procedure, as described, did not increase the operative risks of the procedure; instead, it decreased potential morbidity. We caution that this procedure should only be considered for select donors, and that only surgical teams familiar with both living donor hepatectomy and laparoscopic liver surgery should entertain this possibility.

Keywords: Laparoscopic; minimally invasive surgery; right lobe donor

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1600-6143.2006.01498.x

Affiliations: 1: Department of Surgery, Feinberg School of Medicine, Northwestern University 2: Northwestern Memorial Hospital, Chicago, Illinois, USA

Publication date: 2006-10-01