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living donor liver transplantation, laparoscopic liver surgery

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https://www.readbyqxmd.com/read/27726195/the-use-of-robotic-surgery-in-abdominal-organ-transplantation-a-literature-review
#1
REVIEW
Giovanni B Levi Sandri, Edoardo de Werra, Gianluca Mascianà, Francesco Guerra, Gabriele Spoletini, Quirino Lai
Minimally invasive surgical approaches in transplantation are gaining increasing interest, and many centers are reporting their, mainly laparoscopic, experiences. Robotic surgery (RS) has some hypothetical advantages over traditional laparoscopy and has been successfully applied, although infrequently to organ transplantation. Our goal was to review and critique the publications reporting RS use in organ transplantation. Most of the RS experience has been with living renal donor organ procurement and, to a lesser extent, with RS procedures in the transplant recipient...
October 11, 2016: Clinical Transplantation
https://www.readbyqxmd.com/read/27081220/magnetic-resonance-cholangiographic-evaluation-of-intrahepatic-and-extrahepatic-bile-duct-variations
#2
Binit Sureka, Kalpana Bansal, Yashwant Patidar, Ankur Arora
Biliary anatomy and its common and uncommon variations are of considerable clinical significance when performing living donor transplantation, radiological interventions in hepatobiliary system, laparoscopic cholecystectomy, and liver resection (hepatectomy, segmentectomy). Because of increasing trend found in the number of liver transplant surgeries being performed, magnetic resonance cholangiopancreatography (MRCP) has become the modality of choice for noninvasive evaluation of abnormalities of the biliary tract...
January 2016: Indian Journal of Radiology & Imaging
https://www.readbyqxmd.com/read/26449392/laparoscopic-living-donor-hepatectomy-a-review-of-current-status
#3
REVIEW
Jeong-Ik Park, Ki-Hun Kim, Sung-Gyu Lee
Over the last two decades, laparoscopic surgery has been adopted in various surgical fields. Its advantages of reduced blood loss, reduced postoperative morbidity, shorter hospital stay, and excellent cosmetic outcome compared with conventional open surgery are well validated. In comparison with other abdominal organs, laparoscopic hepatectomy has developed relatively slowly due to the potential for massive bleeding, technical difficulties and a protracted learning curve. Furthermore, applications to liver graft procurement in living donor liver transplantation (LDLT) have been delayed significantly due to concerns about donor safety, graft outcome and the need for expertise in both laparoscopic liver surgery and LDLT...
November 2015: Journal of Hepato-biliary-pancreatic Sciences
https://www.readbyqxmd.com/read/25891710/hybrid-procedure-in-living-donor-liver-transplantation
#4
A Soyama, M Takatsuki, M Hidaka, T Adachi, A Kitasato, A Kinoshita, K Natsuda, Z Baimakhanov, T Kuroki, S Eguchi
BACKGROUND: We have previously reported a hybrid procedure that uses a combination of laparoscopic mobilization of the liver and subsequent hepatectomy under direct vision in living donor liver transplantation (LDLT). We present the details of this hybrid procedure and the outcomes of the procedure. METHODS: Between January 1997 and August 2014, 204 LDLTs were performed at Nagasaki University Hospital. Among them, 67 recent donors underwent hybrid donor hepatectomy...
April 2015: Transplantation Proceedings
https://www.readbyqxmd.com/read/25561777/pushing-the-frontiers-of-living-donor-right-hepatectomy
#5
REVIEW
Seong Hoon Kim, Seung Duk Lee, Young Kyu Kim, Sang-Jae Park
Living donor right hepatectomy (LDRH) is currently the most common donor surgery in adult-to-adult living donor liver transplantation although the morbidity and mortality reported in living donors still contradicts the Hippocratic tenet of "do no harm". Achieving low complication rates in LDRH remains a matter of major concern. Living donor surgery is performed worldwide as an established solution to the donor shortage. The aim of this study was to assess the current status of LDRH and comment on the future of the procedure; assessment was made from the standpoint of optimizing the donor selection criteria and reducing morbidity based on both the authors' 8-year institutional experience and a literature review...
December 28, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/25400442/laparoscopic-liver-resection-for-living-donation-where-do-we-stand
#6
REVIEW
François Cauchy, Lilian Schwarz, Olivier Scatton, Olivier Soubrane
In Western countries, living donor liver transplantation (LDLT) may represent a valuable alternative to deceased donor liver transplantation. Yet, after an initial peak of enthusiasm, reports of high rates of complications and of fatalities have led to a certain degree of reluctance towards this procedure especially in Western countries. As for living donor kidney transplantation, the laparoscopic approach could improve patient's tolerance in order to rehabilitate this strategy and reverse the current trend...
November 14, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24646560/pure-laparoscopic-left-lateral-sectionectomy-in-living-donors-from-innovation-to-development-in-france
#7
Olivier Scatton, Georgios Katsanos, Olivier Boillot, Claire Goumard, Denis Bernard, Fabien Stenard, Fabiano Perdigao, Olivier Soubrane
OBJECTIVE: In this study, we report the results obtained from 70 living donors in France. BACKGROUND: Left lateral sectionectomy for pediatric live donor liver transplantation is a well-standardized surgical procedure. Our team introduced the laparoscopic approach to live donation in 2002, and the reproducibility and safety of this method was discussed in 2006. METHODS: Between March 2001 and October 2012, a total of 70 donors underwent a liver procurement...
March 2015: Annals of Surgery
https://www.readbyqxmd.com/read/24386588/single-lobe-living-donor-liver-transplant-in-a-morbidly-obese-cirrhotic-patient-preceded-by-laparoscopic-sleeve-gastrectomy
#8
Sunil Taneja, Subash Gupta, Manav Wadhawan, Neerav Goyal
Nonalcoholic steatohepatitis (NASH) is a stage of nonalcoholic fatty liver disease (NAFLD), and, in most patients, it is associated with obesity and metabolic syndrome with progression to end-stage liver disease in about 20% of patients (McCullough (2004); Matteoni et al. (1999); Liou and Kowdley (2006)). It has been estimated that between 20 and 30% of patients with end-stage cirrhosis referred for liver transplantation (LT) evaluation and 30 to 70% of LT recipients exhibit some degree of obesity (Muñoz and ElGenaidi (2005))...
2013: Case Reports in Transplantation
https://www.readbyqxmd.com/read/24157022/role-of-hand-assisted-laparoscopic-surgery-in-living-donor-right-liver-harvest
#9
T Y Ha, S Hwang, C S Ahn, K H Kim, D B Moon, G W Song, D H Jung, G C Park, J M Namgoong, C S Park, Y H Park, H W Park, S H Kang, B H Jung, S-G Lee
OBJECTIVE: The cosmetic aspects of abdominal skin incisions are a matter of concern for both live liver donors and surgeons. We performed a prospective comparative study on the use of minilaparotomy to perform right liver graft harvests with and without hand-assisted laparoscopic surgery (HALS). METHODS: Young donors were indicated for surgery using minilaparotomy with or without HALS. In the non-HALS group (n = 20), a 10-12-cm-long right subcostal incision was used for right liver graft harvest...
October 2013: Transplantation Proceedings
https://www.readbyqxmd.com/read/24151353/right-hepatic-lobe-living-donation-a-12-years-single-italian-center-experience
#10
Salvatore Gruttadauria, Duilio Pagano, Davide Cintorino, Antonio Arcadipane, Mario Traina, Riccardo Volpes, Angelo Luca, Giovanni Vizzini, Bruno Gridelli, Marco Spada
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...
October 14, 2013: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24034709/totally-laparoscopic-full-left-hepatectomy-for-living-donor-liver-transplantation-in-adolescents-and-adults
#11
B Samstein, D Cherqui, F Rotellar, A Griesemer, K J Halazun, T Kato, J Guarrera, J C Emond
In recent years different minimal access strategies have been designed in order to perform living donor liver surgery for adult recipients with less morbidity. Techniques involve shortening the length of the incision with or without previous laparoscopic mobilization of the liver. Herein we present two cases of totally laparoscopic living donor left hepatectomy, with and without removal of the middle hepatic vein, respectively. We describe in detail the anatomical and technical aspects of the procedure focusing on relevant points to enhance safety...
September 2013: American Journal of Transplantation
https://www.readbyqxmd.com/read/23943103/laparoscopic-liver-resection-lessons-at-the-end-of-the-second-decade
#12
REVIEW
Cheguevara Afaneh, Michael D Kluger
Laparoscopic liver surgery has evolved over the last two decades. Advancements in surgical technology, surgical technique, and postoperative care have aided in lifting barriers to laparoscopic liver resection (LLR). In this review, the authors highlight the modern indications, benefits, safety, and feasibility of laparoscopic liver resections. Moreover, they analyze various studies comparing laparoscopic major hepatectomies to open surgery. Morbidity and mortality rates are at an all-time low in this era of laparoscopic liver surgery...
August 2013: Seminars in Liver Disease
https://www.readbyqxmd.com/read/23785753/-total-laparoscopic-splenectomy-for-a-patient-with-multiple-surgeries-including-living-donor-liver-transplantation
#13
Hiroko Yano, Toru Ikegami, Tomoharu Yoshizumi, Tomohiko Akahoshi, Morimasa Tomikawa, Hideaki Uchiyama, Yuji Soejima, Ken Shirabe, Yoshihiko Maehara
The case was a 50 years old female, with history of multiple previous surgeries including living donor liver transplantation for primary biliary cirrhosis, pancreatoduodenectomy for carcinoma in the duodenal papilla Vater, revision of Roux-en-Y anastomosis for intractable cholangitis due to short Roux limb. She was hospitalized this time for decompensated liver cirrhosis due to recurrent cholangitis, with apparent hypersplenism and risky esophageal varices. After a few session of endoscopic treatment for esophageal varices, we applied total laparoscopic splenectomy for hypersplenism in a patient with multiple surgical histories, for seeking better surgical field for safety...
March 2013: Fukuoka Igaku Zasshi, Hukuoka Acta Medica
https://www.readbyqxmd.com/read/23395315/radiologic-assessment-of-hepatobiliary-surgical-complications
#14
REVIEW
Andrew Wigham, Lee Alexander Grant
The complexity of hepatobiliary procedures continues to evolve at a rapid rate, with an increasing number of living donor liver transplants and extensive cancer resections being performed. The associated complications are a significant cause of morbidity and mortality, and are often complex injuries, involving both vascular and biliary structures. In this paper we describe the complications associated with laparoscopic cholecystectomy, liver transplant surgery, and hepatic resection. Focus is on the classical imaging appearances, imaging modality options, and varying management strategies for these injuries, to show how the radiologist's role is vital in ensuring the correct diagnosis is made and the appropriate treatment is instigated...
February 2013: Seminars in Ultrasound, CT, and MR
https://www.readbyqxmd.com/read/23293715/day-of-surgery-rejection-of-donors-in-living-donor-liver-transplantation
#15
Bassem Hegab, Mohamed Rabei Abdelfattah, Ayman Azzam, Hazem Mohamed, Waleed Al Hamoudi, Faisal Aba Alkhail, Hamad Al Bahili, Hatem Khalaf, Mohammed Al Sofayan, Mohammed Al Sebayel
AIM: To study diagnostic laparoscopy as a tool for excluding donors on the day of surgery in living donor liver transplantation (LDLT). METHODS: This study analyzed prospectively collected data from all potential donors for LDLT. All of the donors were subjected to a three-step donor evaluation protocol at our institution. Step one consisted of a clinical and social evaluation, including a liver profile, hepatitis markers, a renal profile, a complete blood count, and an abdominal ultrasound with Doppler...
November 27, 2012: World Journal of Hepatology
https://www.readbyqxmd.com/read/23134183/a-survey-in-the-hepatopancreatobiliary-community-on-ways-to-enhance-patient-recovery
#16
Edgar M Wong-Lun-Hing, Toine M Lodewick, Jan H M B Stoot, Marc H A Bemelmans, Steven W M Olde Damink, Cornelis H C Dejong, Ronald M van Dam
OBJECTIVES: Both laparoscopic techniques and multimodal enhanced recovery programmes have been shown to improve recovery and reduce length of hospital stay. Interestingly, evidence-based care programmes are not widely implemented, whereas new, minimally invasive surgical procedures are often adopted with very little evidence to support their effectiveness. The present survey aimed to shed light on experiences of the adoption of both methods of optimizing recovery. METHODS: An international, web-based, 18-question, electronic survey was composed in 2010...
December 2012: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/22919121/laparoscopy-in-liver-transplantation-the-future-has-arrived
#17
Quirino Lai, Rafael S Pinheiro, Giovanni B Levi Sandri, Gabriele Spoletini, Fabio Melandro, Nicola Guglielmo, Marco Di Laudo, Fabrizio M Frattaroli, Pasquale B Berloco, Massimo Rossi
In the last two decades, laparoscopy has revolutionized the field of surgery. Many procedures previously performed with an open access are now routinely carried out with the laparoscopic approach. Several advantages are associated with laparoscopic surgery compared to open procedures: reduced pain due to smaller incisions and hemorrhaging, shorter hospital length of stay, and a lower incidence of wound infections. Liver transplantation (LT) brought a radical change in life expectancy of patients with hepatic end-stage disease...
2012: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://www.readbyqxmd.com/read/22495272/laparo-endoscopic-single-site-donor-nephrectomy-techniques-and-outcomes
#18
REVIEW
Pierre-Marie Lewandowski, Scott Leslie, Inderbir Gill, Mihir M Desai
OBJECTIVES: Living donor nephrectomy is a unique surgical procedure in urological practice and must optimize the trifecta of: patient safety, minimal morbidity and successful graft function. The laparoscopic technique has become the gold standard over the last decade for harvesting the kidney from a living donor. Laparo-endoscopic single-site (LESS) surgery is an attempt to further enhance cosmetic benefits and reduce the morbidity for potential kidney donors. We have summarized and reviewed the literature of LESS-DN and described the techniques and outcomes...
April 2012: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/22410013/single-port-laparoscopy-assisted-donor-right-hepatectomy-in-living-donor-liver-transplantation-sensible-approach-or-unnecessary-hindrance
#19
H J Choi, Y K You, G H Na, T H Hong, G S Shetty, D G Kim
BACKGROUND: Single-port laparoscopic (SPL) surgery has rapidly gained attention worldwide. Since May 2008, we have propagated the use of SPL surgery, mainly for cholecystectomy and appendectomy. Recently, we have used this modality of minimally invasive surgery for various liver surgeries. We hereby discuss our outcomes of SPL-assisted donor right hepatectomies. METHODS: The preoperative workup is the same as for a standard donor hepatectomy. We retrospectively reviewed the data of 150 patients who underwent donor right hepatectomy from October 2008 to May 2011...
March 2012: Transplantation Proceedings
https://www.readbyqxmd.com/read/22262478/cytokine-elevation-and-transaminitis-after-laparoscopic-donor-nephrectomy
#20
Steven Yap, Sang Won Park, Brian Egan, H Thomas Lee
Acute kidney injury frequently occurs in the critically ill and often progresses into multiorgan dysfunction syndrome, resulting in high mortality. We previously showed that nephrectomized mice had increased interleukin (IL)-6 and tumor necrosis factor (TNF)-α that directly contributed to systemic inflammation and hepatic injury. In this study, we examined whether patients undergoing laparoscopic donor nephrectomy have increased postoperative cytokine levels with injury to the liver and whether the remaining kidney sustains injury...
May 1, 2012: American Journal of Physiology. Renal Physiology
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