ArticleSurgical endoscopy2019
Pure laparoscopic living donor hepatectomy using the Glissonean pedicle approach (with video).
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Effects of the bile duct bifurcation angle and position of the living donor on biliary complications in recipients after living donor liver transplantation.BMC surgery · 2026Article
- Risk-Adjusted Assessment of the Learning Curve for Pure Laparoscopic Donor Hepatectomy for Adult Recipients.World journal of surgery · 2023Article
- Hepatic and portal vein transection by vascular stapler in open living donor hepatectomy - A retrospective cohort study.Annals of medicine and surgery (2012) · 2022Article
- Non-Contrast-Enhanced and Contrast-Enhanced Magnetic Resonance Angiography in Living Donor Liver Vascular Anatomy.Diagnostics (Basel, Switzerland) · 2022Article
- Rationality and necessity of vascular stapler application during liver resection (Review).Experimental and therapeutic medicine · 2021Review
- Advances in the surgical outcomes of 300 cases of pure laparoscopic living donor right hemihepatectomy divided into three periods of 100 cases: a single-centre case series.Annals of translational medicine · 2021Article
- Usefulness of a Balloon Catheter for Intraoperative Cholangiography During Living Donor Hepatectomy: A Product Investigation.Annals of transplantation · 2020Article
- Portal bifurcation reconstruction using own hepatic vein grafts due to portal vein anomaly of the living donor for the patient with portal vein thrombosis.Annals of hepato-biliary-pancreatic surgery · 2020Article
- Anterior approach for pure laparoscopic donor right hepatectomy.Surgical endoscopy · 2020Review
- Efficacy and safety of laparoscopic hepatectomy for hepatocellular carcinoma comorbid with cirrhosis.Przeglad gastroenterologiczny · 2020Article
- Pure laparoscopic versus open donor hepatectomy for adult living donor liver transplantation - A systematic review and meta-analysis.Journal of minimal access surgeryReview
- Identifying Cystic Vein Perfusion Area Employing Indocyanine Green Fluorescence Imaging during Laparoscopic Extended Cholecystectomy for Clinical T2 Gallbladder Cancer.Case reports in gastroenterologyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of pure laparoscopic donor hepatectomy has been increasing, with various advantages reported. However, the Glissonean approach has not been adopted despite its usefulness. The aim of this study was to introduce the Glissonean pedicle approach for laparoscopic living donor hepatectomy.
methodsWe retrospectively reviewed data from 11 patients who underwent pure laparoscopic donor hepatectomy for adult living donor liver transplantation. In this novel operative procedure, after mobilization of the liver, the right or left Glissonean pedicle was encircled, and then the liver parenchymal transection was completed. Next, the right or left hepatic artery, portal vein, and hepatic duct were dissected out. The right or left hepatic duct was divided under intraoperative cholangiography guidance using indocyanine green fluorescence, and the hepatic artery and the portal vein were cut. Finally, the hepatic vein was divided using the laparoscopic stapler, and the graft liver was procured via a suprapubic incision.
resultsThe overall median surgical time was 387 min (range 280-563 min), and the volume of blood loss was 75 mL (21-1228 mL). The warm ischemic time was 5 min (2-10 min). A conversion to open procedure was occurred in 1 patient. A complication, a grade IIIa bile leakage according to the Clavien-Dindo classification, was noted in 1 patient.
conclusionThis is the first report of the Glissonean pedicle approach for pure laparoscopic donor hepatectomy; our results demonstrate the safety and feasibility of this technique.
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