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Totally Laparoscopic Right‐Lobe Hepatectomy for Adult Living Donor Liver Transplantation: Useful Strategies to Enhance Safety
Authors:F Rotellar  F Pardo  A Benito  P Martí‐Cruchaga  G Zozaya  L Lopez  F Hidalgo  B Sangro  I Herrero
Institution:1. Hepatobiliary Surgery and Liver Transplantation, Department of Surgery, University Clinic, Universidad de Navarra, , Pamplona, Spain;2. Abdominal Radiology, Department of Radiology, University Clinic, Universidad de Navarra, , Pamplona, Spain;3. Department of Anesthesiology, University Clinic, Universidad de Navarra, , Pamplona, Spain;4. Liver Unit, Department of Internal Medicine, University Clinic, Universidad de Navarra, , Pamplona, Spain;5. Centro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas (CIBERehd), Instituto de Salud Carlos III, , Madrid, Spain
Abstract:The overriding concern in living donor liver transplantation is donor safety. A totally laparoscopic right hepatectomy without middle hepatic vein for adult living donor liver transplantation is presented. The surgical procedure is described in detail, focusing on relevant technical aspects to enhance donor safety, specifically the hanging maneuver and dynamic fluoroscopy‐controlled bile duct division.
Keywords:Adult  laparoscopy  live donor transplantation  liver transplantation  right lobe donor hepatectomy  right lobe graft
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