Pure laparoscopic versus open left lateral hepatectomy in pediatric living donor liver transplantation: a review and meta-analysis

Autor: Meng Sha, Zhipeng Zong, Chuan Shen, Jian-jun Zhu, Ming-xuan Feng, Yi Luo, Ying Tong, Qiang Xia
Rok vydání: 2023
Předmět:
Zdroj: Hepatology International.
ISSN: 1936-0541
1936-0533
DOI: 10.1007/s12072-022-10471-z
Popis: Purpose: The meta-analysis was conducted to evaluate the safety and feasibility of pure laparoscopic left lateral hepatectomy in comparison with open approach for pediatric living donor liver transplantation (LDLT).Methods: A systemic literature survey was performed by searching the PubMed, EMBASE and Cochrane Library databases for articles that compared pure laparoscopic left lateral living donor hepatectomy (LLDH) and open left lateral living donor hepatectomy (OLDH) by November 2021. Meta-analysis was performed to assess donors’ and recipients’ perioperative outcomes using RevMan 5.3 software.Results: A total of seven studies involving 489 patients were included in the analysis. The results demonstrated that LLDH group had significantly less blood loss (WMD=-82.12ml, 95%CI: -109.56-54.67, PConclusion: LLDH is a safe and effective alternative to OLDH for pediatric LDLT, reducing invasiveness and benefiting postoperative recovery. Future large-scale multi-center studies are expected to confirm the advantages of LLDH in pediatric LDLT.
Databáze: OpenAIRE
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