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首页> 外文期刊>Surgical Endoscopy >Pure laparoscopic right hepatectomy of living donor is feasible and safe: a preliminary comparative study in China
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Pure laparoscopic right hepatectomy of living donor is feasible and safe: a preliminary comparative study in China

机译：纯腹腔镜右肝切除术的生活捐赠者是可行和安全的：中国的初步比较研究

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BackgroundThe adoption of laparoscopic techniques for living donor major hepatectomy has been controversial issue. The aim of this study is to present the preliminary experience of laparoscopic right hepatectomy in China.MethodsAll the donors receiving right hepatectomy for adult-to-adult living donor liver transplantation (LDLT) were divided into three groups: pure laparoscopic right hepatectomy (PLRH) group, hand-assisted right hepatectomy (HARH) group and open right hepatectomy (ORH) group. We compared the perioperative data and surgical outcomes of donors and recipients among three groups.ResultsFrom November 2001 to May 2017, 295 donors have received right hepatectomy for LDLT in our center. Among them, 7 donors received PLRH, 26 donors received HARH and 262 donors received ORH. The operation time of PLRH group (509.398.9min) was longer than that of the HARH group (451.6 +/- 89.7min) and the ORH group (418.4 +/- 81.1min, p=0.003). The blood loss was the least in the PLRH group (378.6 +/- 177.1mL), compared with that in the HARH group (617.3 +/- 240.4mL) and that in the ORH group (798.6 +/- 483.7mL, p=0.0013). The postoperative hospital stay was shorter in the PLRH group (7, 7-10 days) than that in the HATH group (8.5, 7.5-12 days) and ORH group (11, 9-14 days; p=0.001). Only one donor had pleural effusion (Grade I) and another one experienced pulmonary infection (Grade II). One recipient (14.3%) in the PLRH group occurred hepatic venous stenosis.ConclusionsLaparoscopic approaches for right hepatectomy contribute to less blood loss, better cosmetic satisfaction, less severe complications, and faster rehabilitation. PLRH is a safe and feasible procedure, which must be performed in highly specialized centers with expertise of both LDLT and laparoscopic hepatectomy, and requires a hybrid-to-pure stepwise development.
机译：背景技术腹腔镜技术为活体供体主要肝切除术一直存在争议问题。本研究的目的是展示中国腹腔镜右肝切除术的初步体验。方法所有接受成人到成人的生活供体肝移植（LDLT）接受右肝切除术的供体分为三组：纯腹腔镜右肝切除术（PLRH）组，手工辅助右肝切除术（HARH）组和右肝切除术（ORH）组。我们将捐赠者和​​接受者的围手术期数据和手术结果进行了比较。从2001年11月到2017年5月，295名捐助者在我们的中心接受了术语肝脏切除术。其中，7名捐助者收到PLRH，26名捐助者接受了HARH和262名捐赠者orh。 PLRH组的操作时间（509.398.9min）比HARH组（451.6 +/- 89.7min）和ORH组（418.4 +/- 81.1min，p = 0.003）。 PLRH组中的失血量最少（378.6 +/- 177.1ml），与HARH组（617.3 +/- 240.4ml）相比，在ORH组（798.6 +/- 483.7ml，P = 0.0013）。 PLRH集团（7,7-10天）的术后医院住宿较短（8.5,7-12天）和ORH组（11,9-14天; P = 0.001）。只有一个供体具有胸腔积液（I级），另一种经历了肺部感染（II级）。 PLRH组中的一种受体（14.3％）发生肝静脉狭窄。适当肝切除术的结论肺镜镜检查方法促使血液损失更少，更好的化妆品满意度，更严重的并发症，更快的康复。 PLRH是一种安全可行的程序，必须在高度专业的中心进行，具有LDLT和腹腔镜肝切除术的专业知识，并且需要杂种纯于纯粹的逐步发展。

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