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Laparoscopic left lateral section procurement in living liver donors: A single center propensity score-matched study

Gotye S. V., Monakhov A. R., Gallyamov E`. A., Tsirul`nikova O. M., Zagaynov E., Dzhanbekov T., Semash K., Khizroev K., Oleshkevich D., Chekletsova E.
Clinical Transplantation
Vol.32, Issue9, Num.e13374
Опубликовано: 2018
Тип ресурса: Статья

DOI:10.1111/ctr.13374

Аннотация:
Background: Laparoscopic living donor liver procurement for transplantation has increased in popularity over the past decade. The purpose of this study was to compare the laparoscopic and open approaches in living donor left lateral sectionectomy (LLS) and to assess the safety and feasibility of this laparoscopic approach. Methods: A total of 103 living donor LLSs were performed at our center from May 2016 to December 2017. Of these, 35 were completely laparoscopic procedures, which represented the subject of this study. An additional 68 open living donor LLSs performed during the same period were studied as a comparison group. To overcome selection bias, LLS donors were balanced on a 1:1 ratio (laparoscopic [n = 35]: open [n = 35]) according to covariates with similar values. The PSM was based on the operation date, recipient age, diagnosis, recipient weight, and donor age. Results: There were significant differences between the laparoscopic and open LLS groups (P < 0.001) in terms of
Ключевые слова:
donor hepatectomy; liver transplantation: living donor; minimally invasive surgery
abdominal abscess; adult; Article; bile leakage; body mass; body weight; cholestasis; comparative study; controlled study; feasibility study; female; groups by age; hepatic artery thrombosis; hospital readmission; human; laparoscopic surgery; left lateral sectionectomy; length of stay; liver graft; living donor; major clinical study; male; open surgery; operation duration; operative blood loss; patient safety; portal vein thrombosis; postoperative complication; priority journal; propensity score; reoperation; retrospective study; vein occlusion; case control study; child; clinical trial; donor selection; follow up; graft survival; laparoscopy; liver disease; liver resection; liver transplantation; living donor; procedures; prognosis; prospective study; transplantation; Adult; Case-Control Studies; Child; Donor Selection; Feasibility Studies; Female; Follow-Up Studies; Graft Survival; Hepatectomy; Humans; Laparoscopy; Length of Stay; Liver Diseases; Liver Transplantation; Living Donors
Язык текста: Английский
ISSN: 1399-0012
Gotye S. V. Sergej Vladimirovich 1947-
Monakhov A. R. Artem Rashidovich 1987-
Gallyamov E`. A. E`duard Abdulkhaevich 1962-
Tsirul`nikova O. M. Ol`ga Martenovna 1962-
Zagaynov E.
Dzhanbekov T.
Semash K.
Khizroev K.
Oleshkevich D.
Chekletsova E.
Готье С. В. Сергей Владимирович 1947-
Монахов А. Р. Артем Рашидович 1987-
Галлямов Э. А. Эдуард Абдулхаевич 1962-
Цирульникова О. М. Ольга Мартеновна 1962-
Загайнов Е.
Джанбеков Т.
Семаш К.
Хизроев К.
Олешкевич Д.
Чеклецова Е.
Laparoscopic left lateral section procurement in living liver donors: A single center propensity score-matched study
Текст визуальный непосредственный
Clinical Transplantation
Munksgaard International Publishers
Vol.32, Issue9 Num.e13374
2018
Статья
donor hepatectomy liver transplantation: living donor minimally invasive surgery
abdominal abscess adult Article bile leakage body mass body weight cholestasis comparative study controlled study feasibility study female groups by age hepatic artery thrombosis hospital readmission human laparoscopic surgery left lateral sectionectomy length of stay liver graft living donor major clinical study male open surgery operation duration operative blood loss patient safety portal vein thrombosis postoperative complication priority journal propensity score reoperation retrospective study vein occlusion case control study child clinical trial donor selection follow up graft survival laparoscopy liver disease liver resection liver transplantation living donor procedures prognosis prospective study transplantation Adult Case-Control Studies Child Donor Selection Feasibility Studies Female Follow-Up Studies Graft Survival Hepatectomy Humans Laparoscopy Length of Stay Liver Diseases Liver Transplantation Living Donors
Background: Laparoscopic living donor liver procurement for transplantation has increased in popularity over the past decade. The purpose of this study was to compare the laparoscopic and open approaches in living donor left lateral sectionectomy (LLS) and to assess the safety and feasibility of this laparoscopic approach. Methods: A total of 103 living donor LLSs were performed at our center from May 2016 to December 2017. Of these, 35 were completely laparoscopic procedures, which represented the subject of this study. An additional 68 open living donor LLSs performed during the same period were studied as a comparison group. To overcome selection bias, LLS donors were balanced on a 1:1 ratio (laparoscopic [n = 35]: open [n = 35]) according to covariates with similar values. The PSM was based on the operation date, recipient age, diagnosis, recipient weight, and donor age. Results: There were significant differences between the laparoscopic and open LLS groups (P < 0.001) in terms of