Right or left hepatectomy: a continuing question in the era of pure laparoscopic donor hepatectomy  

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作  者:Suk Kyun Hong YoungRok Choi Nam-Joon Yi Kwang-Woong Lee Kyung-Suk Suh 

机构地区:[1]Department of Surgery,Seoul National University College of Medicine,Seoul,Korea

出  处:《Hepatobiliary Surgery and Nutrition》2024年第4期718-720,共3页肝胆外科与营养(英文)

摘  要:We read with great interest the article by Fujiki et al.published in the Annals of Surgery(1),which advocates for the use of a left liver graft with a pure laparoscopic donor hepatectomy(PLDH)approach to reduce the burden on living donors.Minimally invasive techniques,including laparoscopic surgery,have been increasingly adopted in donor hepatectomy for liver transplantation.This reflects a broader trend in various surgical fields to enhance patient outcomes both cosmetically and functionally.Since the first report of a PLDH in the form of a left lateral sectionectomy in 2002(2),this approach has expanded to include full left and full right hepatectomies(3,4).With advancements in laparoscopic instruments and growing experience,PLDH has become a standard practice for left lateral section grafts,as recognized by the most recent international consensus guideline(5).However,PLDH for full left and full right grafts has not yet reached the same level of acceptance.Predominantly performed in Asian countries,PLDH for these grafts highlights differences in donor and recipient characteristics compared to Western countries.Further studies and evidence are required to confirm the safety and feasibility of PLDH for full left and full right grafts on a broader scale.

关 键 词:Donor hepatectomy LAPAROSCOPY living donor liver transplantation right hepatectomy left hepatectomy 

分 类 号:R657.3[医药卫生—外科学]

 

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