한국간담췌외과학회지 (Annals of Hepato-Biliary-Pancreatic Surgery)

  • 제28권3호
  • /
  • Pages.337-343
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  • 2024
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  • 2508-5778(pISSN)
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  • 2508-5859(eISSN)
한국간담췌외과학회 (The Korean Association of Hepato-Biliary-Pancreatic Surgery)
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Donor body mass index over 30 is no barrier for pure laparoscopic donor right hepatectomy

  • Suk Kyun Hong (Department of Surgery, Seoul National University College of Medicine) ;
  • Minseob Kim (Department of Surgery, Seoul National University College of Medicine) ;
  • Youngjin Kim (Department of Surgery, Seoul National University College of Medicine) ;
  • Jae-Yoon Kim (Department of Surgery, Seoul National University College of Medicine) ;
  • Jaewon Lee (Department of Surgery, Seoul National University College of Medicine) ;
  • Jiyoung Kim (Department of Surgery, Seoul National University College of Medicine) ;
  • Su Young Hong (Department of Surgery, Seoul National University College of Medicine) ;
  • Jeong-Moo Lee (Department of Surgery, Seoul National University College of Medicine) ;
  • YoungRok Choi (Department of Surgery, Seoul National University College of Medicine) ;
  • Nam-Joon Yi (Department of Surgery, Seoul National University College of Medicine) ;
  • Kwang-Woong Lee (Department of Surgery, Seoul National University College of Medicine) ;
  • Kyung-Suk Suh (Department of Surgery, Seoul National University College of Medicine)
  • 투고 : 2024.01.22
  • 심사 : 2024.03.12
  • 발행 : 2024.08.31
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초록

Backgrounds/Aims: Challenges arise when translating pure laparoscopic donor right hepatectomy (PLDRH) results from Asian to Western donors, due to differences in body mass index (BMI). This study compares the outcomes of PLDRH and conventional open donor right hepatectomy (CDRH) in donors with BMI over 30. Methods: Medical records of live liver donors (BMI > 30) undergoing right hepatectomy (2010-2021) were compared: 25 PLDRH cases vs. 19 CDRH cases. Donor and recipient demographics, operative details, and outcomes were analyzed. Results: PLDRH and CDRH had similar donor and recipient characteristics. PLDRH had longer liver removal and warm ischemic times, but a shorter post-liver removal duration than CDRH. Donor complication rates were comparable, with the highest complication being grade IIIa in PLDRH, necessitating needle aspiration for biloma on postoperative day 11. Fortunately, this donor fully recovered without additional treatment. No complications exceeding Clavien-Dindo grade IIIa occurred in either group. Recipient outcomes between the groups were similar. Conclusions: This study supports PLDRH as a viable option for donors with BMI over 30, challenging the notion that high BMI should deter considering PLDRH. The findings provide valuable insights into the safety and feasibility of PLDRH, encouraging further exploration of this technique in diverse donor populations.

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참고문헌

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