A comparative study of postoperative outcomes between minimally invasive living donor hepatectomy and open living donor hepatectomy: The Korean organ transplantation registry
- 주제(기타) Surgery
- 설명문(일반) [Do Yang, Jae; Yu, Hee Chul] Jeonbuk Natl Univ, Sch Med, Dept Surg, Jeonju, South Korea; [Lee, Kwang Woong] Seoul Natl Univ, Coll Med, Dept Surg, Seoul, South Korea; [Kim, Jong Man] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Surg, Seoul, South Korea; [Kim, Myoung Soo; Lee, Jae Geun] Yonsei Univ, Coll Med, Dept Surg, Seoul, South Korea; [Kang, Koo Jeong] Keimyung Univ, Sch Med, Dept Surg, Daegu, South Korea; [Choi, Dong Lak] Catholic Univ Daegu, Dept Surg, Daegu, South Korea; [Kim, Bong Wan] Ajou Univ, Sch Med, Dept Surg, Suwon, South Korea; [Ryu, Je Ho] Pusan Natl Univ, Yangsan Hosp, Dept Surg, Pusan, South Korea; [Kim, Dong Sik] Korea Univ, Coll Med, Dept Surg, Seoul, South Korea; [Hwang, Shin] Asan Med Ctr, Dept Surg, Seoul, South Korea; [Choi, In Seok] Konyang Univ Hosp, Dept Surg, Daegeon, South Korea; [Cho, Jai Young] Seoul Natl Univ, Bundang Hosp, Dept Surg, Seongnam, South Korea; [Nah, Yang Won] Ulsan Univ Hosp, Dept Surg, Ulsan, South Korea; [You, Young Kyoung] Catholic Univ Korea, Sch Med, Dept Surg, Seoul, South Korea; [Hong, Geun] Ewha Womans Univ, Coll Med, Dept Surg, Seoul, South Korea; [Hong, Geun] Grad Sch Med, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 MOSBY-ELSEVIER
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000182220
- 본문언어 영어
- Published As http://dx.doi.org/10.1016/j.surg.2021.03.002
초록/요약
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 < .05). 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. (c) 2021 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
more