Pediatric living donor liver transplantation: results of laparoscopic vs. open graft removal

Laparoscopic graft removal for pediatric living donor liver transplantation (PLDLT) reduces morbidity and surgical aggressiveness for the donor. It is important to assess whether the approach used for removal purposes compromises implantation. The objective of this study was to analyze PLDLT progres...

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Bibliographic Details
Published in:	Cirugia pediatrica : organo oficial de la Sociedad Espanola de Cirugia Pediatrica Vol. 35; no. 2; p. 63
Main Authors:	Crehuet Gramatyka, D, Domènech Tàrrega, A, Driller, C, Mangas Álvarez, L, Maupoey Ibáñez, J, Diéguez Hernández-Baquero, I, Negrín Rodríguez, F, Martínez Gómez, M, Vigúria Marco, I, Vila Carbó, J J
Format:	Journal Article
Language:	English
Published:	Spain 01-04-2022
Subjects:	Child Child, Preschool Cohort Studies Humans Laparoscopy - methods Liver Transplantation Living Donors Retrospective Studies Pediatric liver transplantation Living donor Laparoscopy Liver graft removal
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Summary:	Laparoscopic graft removal for pediatric living donor liver transplantation (PLDLT) reduces morbidity and surgical aggressiveness for the donor. It is important to assess whether the approach used for removal purposes compromises implantation. The objective of this study was to analyze PLDLT progression in children according to whether the graft had been removed laparoscopically or through open surgery. A retrospective, analytical cohort study of PLDLTs carried out in our institution from 2009 to 2020 was carried out. Transplantation was performed in 14 patients, with a median age of 34.5 (R: 6-187) months. In 6 donors (42%), graft removal was conducted laparoscopically. In 1 donor (7%), removal was initiated laparoscopically, but conversion was required. This patient was included within the open surgery group, which consisted of 8 (58%) donors. No differences were found in terms of operating times, ICU stay, hospital stay, complications during admission, or complications post-admission in the recipient. The surgical approach did not compromise the length of the vessels to be anastomosed in any graft, and it added no extra difficulty to implantation. No differences were found in terms of removal times or hospital stay for the donor. Only 1 donor from the laparoscopy group required re-intervention due to bleeding following port insertion. PLDLT patients had similar results regardless of the removal approach used, which did not compromise the structures of the graft to be anastomosed, or add any extra difficulty to implantation.
ISSN:	2445-2807