Application value of laparoscopic-assisted total liver transplantation
- VernacularTitle:腹腔镜辅助全肝移植的应用价值
- Author:
Feixiong PANG
1
;
Xiaochun HUANG
1
;
Hongjun LIU
1
;
Chuan LI
1
;
Yuju XU
1
;
Yongheng DENG
1
;
Yingzhou ZHANG
1
;
Xiang NONG
1
;
Shengsong OU
1
;
Jiazhi LI
1
;
Junxin HE
1
;
Jiajun JIANG
1
;
Yanglin SHEN
1
;
Xiaojiao WEI
1
;
Jingzhu HUANG
1
;
Yanhua LAI
1
Author Information
- Publication Type:Journal Article
- Keywords: Liver transplantation; Surgical procedures, minimally invasive; Laparoscopic-assisted; Safety; Feasibility; Efficacy
- From: Chinese Journal of Digestive Surgery 2024;23(11):1445-1451
- CountryChina
- Language:Chinese
- Abstract: Objective:To investigate the application value of laparoscopic-assisted total liver transplantation.Methods:The retrospective and descriptive study was conducted. The clinical data of 9 pairs of donors and recipients who underwent laparoscopic-assisted total liver transplanta-tion in People′s Hospital of Guangxi Zhuang Autonomous Region from January to April 2024 were collected. Of the donors, there were 8 males and 1 female, aged (39±18)years and with body mass index (BMI) of (20±4)kg/m 2. Of the recipients, there were 7 males and 2 females, aged (41±13)years and with BMI of (24±4)kg/m 2. Measurement data with normal distribution were represented as Mean± SD. Count data were described as absolute numbers. Results:(1) Surgical conditions. Of the 9 recipients, 7 recipients underwent laparoscopic-assisted total liver transplantation successfully, 1 recipient with severe portal hypertension converted to open surgery with reverse L-shaped incision due to the hemorrhage during the dissection of the first hepatic portal after completing liver mobilization under laparoscopy, and 1 recipient underwent trans-umbilical extension incision through the middle of the epigastric region due to the limited space for operation in the implantation of the donor liver. The total operation time for 7 recipients who successfully underwent laparoscopic-assisted total liver transplantation was (648±31)minutes, with a time of anhepatic phase of (57±5)minutes, the volume of intraoperative blood loss of (1 322±627)mL, the donor liver mass of (1 195±232)g, and the ratio of donor liver mass to recipient body mass of 1.86%±0.42%. The operation time for laparoscopic liver dissection and porta hepatis dissection in 8 recipients during surgery was (212±35)minutes. (2) Postoperative conditions. All 9 recipients recovered smoothly after surgery, without any vascular or biliary related complications, and the surgical incision recovered well. The duration of postoperative hospital stay of 7 recipients who successfully underwent laparoscopic-assisted total liver transplantation was (14.2±2.0)days. (3) Follow-up. All 9 recipients were followed up for 3 months after surgery. During the follow-up period, there was no vascular or bile duct related complication.Conclusion:Laparoscopic-assisted total liver transplantation can be applied to recipients who meet surgical conditions and achieve good short-term clinical efficacy.
