Insights from Seoul National University Hospital’s experience: a systematic review of pure laparoscopic donor hepatectomy progression  

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,South Korea

出　　处：《Hepatobiliary Surgery and Nutrition》2024年第2期293-300,共8页肝胆外科与营养（英文）

摘　　要：Following its initial execution in November 2015,pure laparoscopic donor hepatectomy(PLDH)has gained acceptance as a conventional practice at Seoul National University Hospital(SNUH).It is noteworthy that a significant proportion of cases entail full right hepatectomies,which are acknowledged to be technically demanding.As expertise and knowledge have been accrued,the pure laparoscopic technique has been extended to encompass liver recipients as a viable option in SNUH.The aim of this review is to present the developmental progression of PLDH,with a focus on pure laparoscopic donor right hepatectomy(PLDRH),at SNUH.This includes the standardization process,which can be achieved by sharing the hospital’s accumulated experience and previous reports.Various types of graft,including full right,left,left lateral section,and monosegment,were procured by pure laparoscopic technique.The criteria for selection were expanded to include donors with variations in the anatomy of the portal vein and bile duct.Additionally,the procedure of PLDRH was determined to be safe and viable for donors with high body mass index and larger graft weight.In conclusion,this review demonstrates the alterations implemented throughout our evolution from restricted to inclusive criteria for donor selection,leading to a complete shift from open surgery to pure laparoscopic procedures in donor hepatectomy and eventually pure laparoscopic living donor liver transplantation(LDLT)in recipient.

关 键 词：Donor hepatectomy LAPAROSCOPY living donor liver transplantation(LDLT) right hepatectomy minimally invasive 

分 类 号：R657.3[医药卫生—外科学]