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A comparative study of postoperative outcomes between minimally invasive living donor hepatectomy and open living donor hepatectomy: The Korean organ transplantation registry

Authors
 Jae Do Yang  ;  Kwang Woong Lee  ;  Jong Man Kim  ;  Myoung Soo Kim  ;  Jae Geun Lee  ;  Koo Jeong Kang  ;  Dong Lak Choi  ;  Bong Wan Kim  ;  Je Ho Ryu  ;  Dong Sik Kim  ;  Shin Hwang  ;  In Seok Choi  ;  Jai Young Cho  ;  Yang Won Nah  ;  Young Kyoung You  ;  Geun Hong  ;  Hee Chul Yu 
Citation
 SURGERY, Vol.170(1) : 271-276, 2021-07 
Journal Title
SURGERY
ISSN
 0039-6060 
Issue Date
2021-07
MeSH
Adult ; Biliary Tract Diseases / etiology ; Female ; Hepatectomy / adverse effects ; Hepatectomy / methods* ; Humans ; Length of Stay ; Liver / surgery ; Liver Transplantation / adverse effects ; Liver Transplantation / methods* ; Living Donors* ; Male ; Minimally Invasive Surgical Procedures / adverse effects* ; Postoperative Complications / epidemiology ; Postoperative Complications / etiology* ; Postoperative Hemorrhage / epidemiology ; Postoperative Hemorrhage / etiology ; Registries ; Republic of Korea
Abstract
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.
Files in This Item:
T202126079.pdf Download
DOI
10.1016/j.surg.2021.03.002
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Myoung Soo(김명수) ORCID logo https://orcid.org/0000-0002-8975-8381
Lee, Jae Geun(이재근) ORCID logo https://orcid.org/0000-0002-6722-0257
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/190451
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