Academic Journal
OUTCOMES OF ROBOTIC LIVING DONOR RIGHT HEPATECTOMY FROM 52 CONSECUTIVE CASES: COMPARISON WITH OPEN AND LAPAROSCOPY-ASSISTED DONOR HEPATECTOMY: Comparison With Open and Laparoscopy-assisted Donor Hepatectomy
| Title: | OUTCOMES OF ROBOTIC LIVING DONOR RIGHT HEPATECTOMY FROM 52 CONSECUTIVE CASES: COMPARISON WITH OPEN AND LAPAROSCOPY-ASSISTED DONOR HEPATECTOMY: Comparison With Open and Laparoscopy-assisted Donor Hepatectomy |
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| Authors: | Dong Jin Joo, Seoung Yoon Rho, Jin Sub Choi, Gi Hong Choi, Dai Hoon Han, Myung Soo Kim, Jae Geun Lee, Soon Il Kim |
| Contributors: | Seoung Yoon Rho, Jae Geun Lee, Dong Jin Joo, Myoung Soo Kim, Soon Il Kim, Dai Hoon Han, Jin Sub Choi, Gi Hong Choi, Kim, Myoung Soo |
| Source: | Transplantation. 104:S7-S8 |
| Publisher Information: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| Publication Year: | 2020 |
| Subject Terms: | Adult, Male, Hepatectomy / adverse effects, Tissue and Organ Harvesting / adverse effects, Laparoscopy, Middle Aged, Tissue and Organ Harvesting / methods, 3. Good health, Young Adult, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Postoperative Complications / epidemiology, Robotic Surgical Procedures, Tissue and Organ Harvesting, Feasibility Studies, Hepatectomy, Humans, Female, Hepatectomy / methods, Retrospective Studies |
| Description: | Objective: To investigate the feasibility and safety of RLDRH Summary of Background Data: Data for minimally invasive living-donor right hepatectomy, especially RLDRH, from a relatively large donor cohort that have not been reported yet. Methods: From March 2016 to March 2019, 52 liver donors underwent RLDRH. The clinical and perioperative outcomes of RLDRH were compared with those of CODRH (n = 62) and LADRH (n = 118). Donor satisfaction with cosmetic results was compared between RLDRH and LADRH using a body image questionnaire. Results: Although RLDRH was associated with longer operative time (minutes) (RLDRH, 493.6; CODRH, 404.4; LADRH, 355.9; P < 0.001), mean estimated blood loss (mL) was significantly lower (RLDRH, 109.8; CODRH, 287.1; LADRH, 265.5; P = 0.001). Postoperative complication rates were similar among the 3 groups (RLDRH, 23.1%; CODRH, 35.5%; LADRH, 28.0%; P = 0.420). Regarding donor satisfaction, body image and cosmetic appearance scores were significantly higher in RLDRH than in LADRH. After propensity score matching, RLDRH showed less estimated blood loss compared to those of CODRH (RLDRH, 114.7 mL; CODRH, 318.4 mL; P < 0.001), but complication rates were similar among the three groups (P = 0.748). Conclusions: RLDRH resulted in less blood loss compared with that of CODRH and similar postoperative complication rates to CODRH and LADRH. RLDRH provided better body image and cosmetic results compared with those of LADRH. RLDRH is feasible and safe when performed by surgeons experienced with both robotic and open hepatectomy. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 0041-1337 |
| DOI: | 10.1097/01.tp.0000698288.30524.6b |
| DOI: | 10.1097/sla.0000000000004067 |
| DOI: | 10.1016/j.hpb.2020.11.249 |
| Access URL: | https://journals.lww.com/transplantjournal/Fulltext/2020/09003/OUTCOMES_OF_ROBOTIC_LIVING_DONOR_RIGHT_HEPATECTOMY.11.aspx http://www.hpbonline.org/article/S1365182X20314933/pdf https://pubmed.ncbi.nlm.nih.gov/32773621 https://pubmed.ncbi.nlm.nih.gov/32773621/ https://www.ncbi.nlm.nih.gov/pubmed/32773621 https://api.elsevier.com/content/article/PII:S1365182X20314933?httpAccept=text/xml https://journals.lww.com/10.1097/01.tp.0000698288.30524.6b |
| Rights: | Elsevier Non-Commercial CC BY NC ND |
| Accession Number: | edsair.doi.dedup.....cbb92fb2be1bf40d9b7993d50c5e406d |
| Database: | OpenAIRE |
| ISSN: | 00411337 |
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| DOI: | 10.1097/01.tp.0000698288.30524.6b |