Living donor liver resection: a low-tech but highly efficient technique. The Regensburg experience.
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Living donor liver resection: a low-tech but highly efficient technique. The Regensburg experience. / Obed, Aiman; Schnitzbauer, Andreas A; Tsui, Tung Yu; Gosh, Hani Abu; Jarrad, Anwar; Bashir, Abdulla; Schlitt, Hans J.
in: LANGENBECK ARCH SURG, Jahrgang 393, Nr. 3, 3, 2008, S. 413-421.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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T1 - Living donor liver resection: a low-tech but highly efficient technique. The Regensburg experience.
AU - Obed, Aiman
AU - Schnitzbauer, Andreas A
AU - Tsui, Tung Yu
AU - Gosh, Hani Abu
AU - Jarrad, Anwar
AU - Bashir, Abdulla
AU - Schlitt, Hans J
PY - 2008
Y1 - 2008
N2 - BACKGROUND: To evaluate a low-tech blunt liver dissecting technique for living-liver-donor procedures. Thirty three adult-to-adult living-donor operations were performed at Regensburg University and Jordan Hospital, Amman. PATIENTS AND METHODS: For the technique of parenchymal dissection, dissecting scissors were used for blunt preparation; branches were closed, carefully pressing into the hepatic parenchyma. Donor, surgical procedure data, and data on liver function and recovery were analyzed and compared to literature. RESULTS: Median procedure time was 280 min (210 to 420 min). Median blood loss was 350 ml (0 to 650 ml). GOT levels decreased from 260 U/l (140 to 510 U/l) on day 1 to 65 U/l (31 to 220 U/l) on day 7. Bilirubin levels were at 2.0 mmol/l (1.29 to 5.99 mmol/l) on day 1 and 1.26 mmol/l (0.63 to 4.70 mmol/l) on day 7. After 12 days (6 to 23), all donors were discharged. There was no donor mortality. One major complication (biliary leakage) and seven minor complications occurred. CONCLUSION: This technique is a low-tech but efficient donor-dissection technique in living liver transplantation, which is comparable to other well established dissection techniques utilizing technical devices in regards to risk for the donor, performance, and recovery.
AB - BACKGROUND: To evaluate a low-tech blunt liver dissecting technique for living-liver-donor procedures. Thirty three adult-to-adult living-donor operations were performed at Regensburg University and Jordan Hospital, Amman. PATIENTS AND METHODS: For the technique of parenchymal dissection, dissecting scissors were used for blunt preparation; branches were closed, carefully pressing into the hepatic parenchyma. Donor, surgical procedure data, and data on liver function and recovery were analyzed and compared to literature. RESULTS: Median procedure time was 280 min (210 to 420 min). Median blood loss was 350 ml (0 to 650 ml). GOT levels decreased from 260 U/l (140 to 510 U/l) on day 1 to 65 U/l (31 to 220 U/l) on day 7. Bilirubin levels were at 2.0 mmol/l (1.29 to 5.99 mmol/l) on day 1 and 1.26 mmol/l (0.63 to 4.70 mmol/l) on day 7. After 12 days (6 to 23), all donors were discharged. There was no donor mortality. One major complication (biliary leakage) and seven minor complications occurred. CONCLUSION: This technique is a low-tech but efficient donor-dissection technique in living liver transplantation, which is comparable to other well established dissection techniques utilizing technical devices in regards to risk for the donor, performance, and recovery.
M3 - SCORING: Zeitschriftenaufsatz
VL - 393
SP - 413
EP - 421
JO - LANGENBECK ARCH SURG
JF - LANGENBECK ARCH SURG
SN - 1435-2443
IS - 3
M1 - 3
ER -
