Laparoscopic procurement model for left lobe living donor liver transplantation
10.3760/cma.j.issn.0254-1785.2010.09.014
- VernacularTitle:建立经腹腔镜切取活体猪左半供肝的动物模型
- Author:
Xuan ZHANG
;
Hongguang WANG
;
Jiahong DONG
- Publication Type:Journal Article
- Keywords:
Swine;
Liver transplantation;
Living donors;
Laparoscopes;
Hepatectomy
- From:
Chinese Journal of Organ Transplantation
2010;31(9):562-564
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the feasibility of laparoscopic hepatic lobe procurement for living donor liver transplantation. Methods The technique included pneumoperitoneum with CO2,ports placement, porta hepatis dissection, laparoscopic ultrasound mapping, mobilization of the liver,and transection of the parenchyma into right and left lobes. The vascular structures were stapled and sectioned just prior to removal of the specimen. Results Hepatic lobectomies were successfully performed laparoscopically in 9 adult pigs. One pig was dead due to bleeding in IVC and following gas embolism during the parenchymal transection. The operative time was 208±25 min. The duration of warm ischemia was 8 ± 2. 3 min. The blood loss was 313 ± 75 mL. The vascular and biliary structures were preserved to allow for subsequent transplantation. Conclusion Laparoscopic living donor procurement for liver transplantation in a porcine model is safe and feasible.
