A comparative study of postoperative outcomes between minimally invasive living donor hepatectomy and open living donor hepatectomy: The Korean organ transplantation registry
| Autor: | Myoung Soo Kim, In Seok Choi, Dong-Sik Kim, Dong Lak Choi, Bong-Wan Kim, Hee Chul Yu, Jae Do Yang, Je Ho Ryu, Kwang-Woong Lee, Shin Hwang, Jong Man Kim, Young Kyoung You, Koo Jeong Kang, Yang Won Nah, Jai Young Cho, Jae Geun Lee, Geun Hong |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male medicine.medical_specialty Biliary Tract Diseases medicine.medical_treatment Postoperative Hemorrhage 030230 surgery Living donor Organ transplantation No donors 03 medical and health sciences Postoperative Complications 0302 clinical medicine Republic of Korea Living Donors Hepatectomy Humans Minimally Invasive Surgical Procedures Medicine Registries Minimally invasive procedures Donor hepatectomy business.industry Length of Stay Liver Transplantation Surgery Liver 030220 oncology & carcinogenesis Female Registry data business Complication |
| Zdroj: | Surgery. 170:271-276 |
| ISSN: | 0039-6060 |
| DOI: | 10.1016/j.surg.2021.03.002 |
| Popis: | Background This study evaluated the safety and effectiveness of minimally invasive living donor hepatectomy in comparison with the open procedure, using Korean Organ Transplantation Registry data. Methods We reviewed the prospectively collected data of all 1,694 living liver donors (1,071 men, 623 women) who underwent donor hepatectomy between April 2014 and December 2017. The donors were grouped on the basis of procedure type to the minimally invasive procedure group (n = 304) or to the open procedure group (n = 1,390) and analyzed the relationships between clinical data and complications. Results No donors died after the procedure. The overall complication rates after operation in the minimally invasive procedure group and the open procedure group were 6.2% and 3.5%, respectively. Biliary complications were the most frequent events in both groups (minimally invasive procedure group, 2.4%; open procedure group, 1.6%). The majority of complications occurred within 7 days after surgery in both groups. The duration of hospitalization was shorter in the minimally invasive procedure group than in the open procedure group (9.04 ± 3.78 days versus 10.29 ± 4.01 days; P Conclusion Based on its similar outcomes in our study, minimally invasive donor hepatectomy cannot be an alternative option compared with the open procedure method. To overcome this, we need to ensure better surgical safety, such as lower complication rate and shorter duration of hospitalization. |
| Databáze: | OpenAIRE |
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