TY - JOUR
T1 - Right hepatic lobe living donation
T2 - A 12 years single Italian center experience
AU - Gruttadauria, Salvatore
AU - Pagano, Duilio
AU - Cintorino, Davide
AU - Arcadipane, Antonio
AU - Traina, Mario
AU - Volpes, Riccardo
AU - Luca, Angelo
AU - Vizzini, Giovanni
AU - Gridelli, Bruno
AU - Spada, Marco
PY - 2013/10/14
Y1 - 2013/10/14
N2 - Mini invasive techniques are taking over conventional open liver resections in the setting of left lateral segmentectomy for living liver donation, and hydride procedure are being implemented for the living related right hepatectomy. Our center routinely performs laparoscopic left lateral segmentectomy for pediatric recipient and has been the first in the Europe performing an entirely robotic right hepatectomy. Great emphasis is posed on living donor safety which is the first priority during the entire operation, then the most majority of our procedures are still conventional open right hepatectomy (RHLD), defined as removal of a portion of liver corresponding to Couinaud segments 5-8, in order to obtain a graft for adult to adult living related liver transplant. During this 10 years period some changes, herein highlighted, have occurred to our surgical techniques. This study reports the largest Italian experience with RHLD, focused on surgical technique evolution over a 10 years period. Donor safety must be the first priority in right-lobe living-related donation: the categorization of complications of living donors, specially, after this "highly sensitive" procedure, reflects the need for prompt and detailed reports.
AB - Mini invasive techniques are taking over conventional open liver resections in the setting of left lateral segmentectomy for living liver donation, and hydride procedure are being implemented for the living related right hepatectomy. Our center routinely performs laparoscopic left lateral segmentectomy for pediatric recipient and has been the first in the Europe performing an entirely robotic right hepatectomy. Great emphasis is posed on living donor safety which is the first priority during the entire operation, then the most majority of our procedures are still conventional open right hepatectomy (RHLD), defined as removal of a portion of liver corresponding to Couinaud segments 5-8, in order to obtain a graft for adult to adult living related liver transplant. During this 10 years period some changes, herein highlighted, have occurred to our surgical techniques. This study reports the largest Italian experience with RHLD, focused on surgical technique evolution over a 10 years period. Donor safety must be the first priority in right-lobe living-related donation: the categorization of complications of living donors, specially, after this "highly sensitive" procedure, reflects the need for prompt and detailed reports.
KW - Adult-to-adult living-related liver transplantation
KW - Liver regeneration
KW - Liver resections
KW - Liver surgery
KW - Liver transplantation
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U2 - 10.3748/wjg.v19.i38.6353
DO - 10.3748/wjg.v19.i38.6353
M3 - Article
C2 - 24151353
AN - SCOPUS:84885655311
VL - 19
SP - 6353
EP - 6359
JO - World Journal of Gastroenterology
JF - World Journal of Gastroenterology
SN - 1007-9327
IS - 38
ER -