Obed, Aiman and Schnitzbauer, Andreas A. and Tsui, Tung-Yu and Abu Gosh, Hani and Jarrad, Anwar and Bashir, Abdulla and Schlitt, Hans J. (2008) Living donor liver resection: A low-tech but highly efficient technique. The Regensburg experience. LANGENBECKS ARCHIVES OF SURGERY, 393 (3). pp. 413-421. ISSN 1435-2443,
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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.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TRANSPLANTATION; OUTCOMES; MORBIDITY; DONATION; GRAFTS; living donation; blunt dissection; right liver lobe |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Chirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 03 Nov 2020 10:44 |
| Last Modified: | 03 Nov 2020 10:44 |
| URI: | https://pred.uni-regensburg.de/id/eprint/30973 |
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