Laparoscopic-assisted donor hepatectomy: is it possible?, is it safe?. Barros Schelotto Pablo , Pfaffen Guillermo, Ramisch Diego, Padín Juan, Sandi Marcelo, Farinelli Pablo, Rumbo Carolina, Descalzi Valeria, Trentadue Julio, Niveiro Silvia, Raffa Sebastián, Gondolesi Gabriel.
Barros Schelotto Pablo, Pfaffen Guillermo, Ramisch Diego, Padín Juan, Sandi Marcelo, Farinelli Pablo, Rumbo Carolina, Descalzi Valeria, Trentadue Julio, Niveiro Silvia, Raffa Sebastián, Gondolesi Gabriel.
INSTITUTO DE TRASPLANTE MULTIORGÁNICO
Buenos Aires - Argentina
Background it safe?
Procedure it safe?
1.Laparoscopic-assisted stage: includes liver mobilization, intraoperative cholangiography and doppler ultrasound, hepatic hilar and left hepatic vein dissection followed by the beginning of the parenchymal transection 2.Open stage: includes completion of the parenchymal transection throughout the hand port incision. Harvesting of the liver, suture of the remnant vascular and biliary stumps
All were isogroup for blood type and had no biochemical abnormalities. Anatomical evaluations were done on a 64 heads multi-detector CT scan In the recipient a total hepatectomy with preservation of cava vein was performed.Hepatic, portal, arterial and biliary Roux-Y reconstruction were performed in standard fashion. .
Two left lateral segmentectomy and one left hepatectomy were performed.
The mean donor’s age was 31.3 years all donors were female.
All patients started oral intake on the next day of surgery.
.No donors had early or late complications after 14 m.