Impact of pure laparoscopic surgery on bile duct division of living donor left lateral section procurement  

作　　者：Hai-Ming Zhang Lin Wei Hong-Yu Li Li-Ying Sun Wei Qu Zhi-Gui Zeng Ying Liu Zhi-Jun Zhu 

机构地区：[1]Beijing Friendship Hospital,Capital Medical University,Beijing,China [2]Clinical Center for Pediatric Liver Transplantation,Capital Medical University,Beijing,China [3]National Clinical Research Center for Digestive Diseases,Beijing,China

出　　处：《Hepatobiliary Surgery and Nutrition》2023年第3期328-340,I0008-I0011,共17页肝胆外科与营养（英文）

基　　金：supported by grants from Capital’s Funds for Health Improvement and Research(No.2020-1-2024);Beijing Municipal Science&Technology Commission(No.Z211100002921026).

摘　　要：Background:Although laparoscopic living donor left lateral section liver procurements represents an established and safe procedure,there remains much discussion on this topic.In particular,the issue of whether laparoscopic living donor liver procurement increases the difficulty of the surgery and potential complications for recipients continue to confound experts in this field.Methods:In this report,data from 180 cases of living donor left lateral section liver transplantation patients were analyzed retrospectively.Of these 180 cases,106 grafts were procured by open surgery and 74 by pure laparoscopic surgery.Results:While surgery durations and blood loss were decreased in donors from the laparoscopic surgery group,increased biliary openings of grafts and relatively high peak aspartate aminotransferase(AST)levels were present in both donors and recipients with this procedure.Conclusions:Laparoscopic living donor left lateral section liver procurement represents a safe and effective procedure for both donors and recipients.However,laparoscopic surgery can more frequently lead to multiple biliary tracts in the graft and its impact on the prognosis of recipients remains uncertain.Use of routine X-ray based intraoperative cholangiography may help to reduce this problem.

关 键 词：Pure laparoscopic surgery living donor liver transplantation(LDLT) biliary complication PROGNOSIS 

分 类 号：R657.4[医药卫生—外科学]