Totally Laparoscopic Right-Lobe Hepatectomy for Adult Living Donor Liver Transplantation: Useful Strategies to Enhance Safety

被引:82
|
作者
Rotellar, F. [1 ]
Pardo, F. [1 ]
Benito, A. [2 ]
Marti-Cruchaga, P. [1 ]
Zozaya, G. [1 ]
Lopez, L. [3 ]
Hidalgo, F. [3 ]
Sangro, B. [4 ,5 ]
Herrero, I. [4 ,5 ]
机构
[1] Univ Navarra, Dept Surg, Univ Clin, E-31080 Pamplona, Spain
[2] Univ Navarra, Dept Radiol, Univ Clin, E-31080 Pamplona, Spain
[3] Univ Navarra, Dept Anesthesiol, Univ Clin, E-31080 Pamplona, Spain
[4] Univ Navarra, Dept Internal Med, Univ Clin, Liver Unit, E-31080 Pamplona, Spain
[5] Inst Salud Carlos III, Ctr Invest & Biomed Red Enfermedades Hepat & Dige, Madrid, Spain
关键词
Adult; laparoscopy; live donor transplantation; liver transplantation; right lobe donor hepatectomy; right lobe graft; HEPATIC LOBECTOMY; PRINGLES MANEUVER; INFLOW OCCLUSION; COMPLICATIONS; DONATION; SURGERY;
D O I
10.1111/ajt.12471
中图分类号
R61 [外科手术学];
学科分类号
摘要
The overriding concern in living donor liver transplantation is donor safety. A totally laparoscopic right hepatectomy without middle hepatic vein for adult living donor liver transplantation is presented. The surgical procedure is described in detail, focusing on relevant technical aspects to enhance donor safety, specifically the hanging maneuver and dynamic fluoroscopy-controlled bile duct division. The authors present a totally laparoscopic right hepatectomy for adult living donor liver transplantation, focusing on technical aspects to enhance safety such as hanging maneuver and real-time sequential colangiographic control. A detailed didactic video is available in online supporting information. Also see the case reports section of the September 2013 issue for video of a totally laparoscopic full left hepatectomy.
引用
收藏
页码:3269 / 3273
页数:5
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