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Published in: Surgical Endoscopy 5/2019

01-05-2019 | Dynamic Manuscript

Pure laparoscopic donor right hepatectomy: perspectives in manipulating a flexible scope

Authors: Suk Kyun Hong, Eunhye Shin, Kwang-Woong Lee, Kyung Chul Yoon, Jeong-Moo Lee, Jae-Hyung Cho, Nam-Joon Yi, Kyung-Suk Suh

Published in: Surgical Endoscopy | Issue 5/2019

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Abstract

Background

Interest in pure laparoscopic donor hepatectomy (PLDH) is increasing worldwide with the donor’s cosmetic demands and improvements in surgical techniques. Efficient manipulation of flexible scope is mandatory for successful PLDH, especially in right hepatectomy which requires more mobilization. This study provides guidelines on how to manipulate optimally a flexible scope.

Methods

Data from 158 donors who underwent pure laparoscopic donor right hepatectomy (PLDRH) between November 2015 and December 2017 were retrospectively reviewed.

Results

None of the donors required transfusion, conversion to open hepatectomy, or experienced any irreversible disabilities or mortalities. Three types of laparoscopic view provided by the flexible scope, which are bird’s eye view, low angle view, and lateral view, were applied to each step of the procedure.

Conclusions

PLDRH can be successfully performed with maximizing visibility given by the tips and pitfalls in manipulating the flexible scope.
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Metadata
Title
Pure laparoscopic donor right hepatectomy: perspectives in manipulating a flexible scope
Authors
Suk Kyun Hong
Eunhye Shin
Kwang-Woong Lee
Kyung Chul Yoon
Jeong-Moo Lee
Jae-Hyung Cho
Nam-Joon Yi
Kyung-Suk Suh
Publication date
01-05-2019
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 5/2019
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-018-6594-1

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