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Long-Term Safety and Efficacy of Pure Laparoscopic Donor Hepatectomy in Pediatric Living Donor Liver Transplantation

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Abstract
Laparoscopic living donor hepatectomy for transplantation has been well established over the past decade. This study aimed to assess its safety and feasibility in pediatric living donor liver transplantation (LDLT) by comparing the surgical and long-term survival outcomes on both the donor and recipient sides between open and laparoscopic groups. The medical records of 100 patients (<= 17 years old) who underwent ABO-compatible LDLT using a left lateral liver graft between May 2008 and June 2016 were analyzed. A total of 31 donors who underwent pure laparoscopic hepatectomy and their corresponding recipients were included in the study; 69 patients who underwent open living donor hepatectomy during the same period were included as a comparison group. To overcome bias from the different distributions of covariables among the patients in the 2 study groups, a 1:1 propensity score matching analysis was performed. The mean follow-up periods were 92.9 and 92.7 months in the open and laparoscopic groups, respectively. The mean postoperative hospital stay of the donors was significantly shorter in the laparoscopic group (8.1 days) than in the open group (10.6 days; P < 0.001). Overall, the surgical complications in the donors and overall survival rate of recipients did not differ between the groups. Our data suggest that the laparoscopic environment was not associated with long-term graft survival during pediatric LDLT. In addition, the laparoscopic approach for the donors did not adversely affect the corresponding recipient's outcome. Laparoscopic left lateral sectionectomy for living donors is a safe, feasible, and reproducible procedure for pediatric liver transplantation.
Author(s)
김기훈김완준남궁정만박정익이승규조휘동황신
Issued Date
2021
Type
Article
Keyword
ABO systemAllograftsDonorsHepatectomyLaparoscopyLiverLiver transplantationMedical recordsPatientsPediatricsSurvivalSyngeneic grafts
DOI
10.1002/lt.25910
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7746
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2448850724&amp;context=PC&amp;vid=ULSAN&amp;lang=ko_KR&amp;search_scope=default_scope&amp;adaptor=primo_central_multiple_fe&amp;tab=default_tab&amp;query=any,contains,Long-Term%20Safety%20and%20Efficacy%20of%20Pure%20Laparoscopic%20Donor%20Hepatectomy%20in%20Pediatric%20Living%20Donor%20Liver%20Transplantation&amp;offset=0&amp;pcAvailability=true
Publisher
LIVER TRANSPLANTATION
Location
미국
Language
영어
ISSN
1527-6465
Citation Volume
27
Citation Number
4
Citation Start Page
513
Citation End Page
524
Appears in Collections:
Medicine > Medicine
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