ArticleAnnals of surgery2023
Risk Factors Associated With Surgical Morbidities of Laparoscopic Living Liver Donors.
Article in Annals of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Risk factors for morbidity in both donor and recipient following minimally invasive donor hepatectomy: a systematic review.International journal of surgery (London, England) · 2026Pooled it
- The long-term follow-up of the living liver donors.Updates in surgery · 2025Pooled it
- Artificial intelligence-assisted prediction of bile duct bifurcation site in pure laparoscopic donor right hepatectomy: a retrospective feasibility study.Annals of surgical treatment and research · 2026Article
- Three Decades of Living Liver Donor Outcomes: A National Cohort Analysis of Patterns in Mortality and Recovery.Journal of transplantation · 2026Article
- Achievements, Challenges and Promises of Minimally Invasive Liver Transplantation.Transplant international : official journal of the European Society for Organ Transplantation · 2026Review
- Influence of previous gastrectomy on postoperative bile leakage after laparoscopic liver resection.BMC surgery · 2025Article
- Understanding the risk factors for surgical morbidities in laparoscopic living donor hepatectomy (LLDH).Hepatobiliary surgery and nutrition · 2024Article
- Donors' Outcome After Living Donor Liver Transplantation in a University Teaching Hospital: A Case Series.Cureus · 2024Article
- Real-time segmentation of biliary structure in pure laparoscopic donor hepatectomy.Scientific reports · 2024Article
- Multivariable linear model for predicting graft weight based on 3-dimensional volumetry in regards to body weight change of living liver donor: an observational cohort study.Annals of surgical treatment and research · 2024Article
- Minimally Invasive Donor Hepatectomy.Journal of clinical and experimental hepatologyReview
Corrections and comments
- Commented on by
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study analyzed the incidence and risk factors for surgical morbidities of laparoscopic living donors.
backgroundAlthough laparoscopic living donor programs have been established safely in leading centers, donor morbidities have not been discussed sufficiently.
methodsLaparoscopic living donors operated on from May 2013 to June 2022 were reviewed. Donor complications were reviewed, and factors related to bile leakage and biliary stricture were analyzed using the multivariable logistic regression method.
resultsA total of 636 donors underwent laparoscopic living donor hepatectomy. The open conversion rate was 1.6%, and the 30-day complication rate was 16.8% (n=107). Grade IIIa and IIIb complications occurred in 4.4% (n=28) and 1.9% (n=12) of patients, respectively. The most common complication was bleeding (n=38, 6.0%). Fourteen donors (2.2%) required reoperation. Portal vein stricture, bile leakage, and biliary stricture occurred in 0.6% (n=4), 3.3% (n=21), and 1.6% (n=10) of cases, respectively. The readmission rate and reoperation rate were 5.2% (n=33) and 2.2% (n=14), respectively. Risk factors related to bile leakage were 2 hepatic arteries in the liver graft (OR=13.836, CI=4.092-46.789, P <0.001), division-free margin<5 mm from the main duct (OR=2.624, CI=1.030-6.686, P =0.043), and estimated blood loss during operation (OR=1.002, CI=1.001-1.003, P =0.008), while the Pringle maneuver (OR=0.300, CI=0.110-0.817, P =0.018) was protective against leakage. Regarding biliary stricture, bile leakage was the only significant factor (OR=11.902, CI=2.773-51.083, P =0.001).
conclusionsLaparoscopic living donor surgery showed excellent safety for the majority of donors, and critical complications were resolved with proper management. To minimize bile leakage, cautious surgical manipulation is needed for donors with complex hilar anatomy.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.