Laparoscopic donor and recipient hepatectomy followed by robot‐assisted liver graft implantation in living donor liver transplantation
Minimally invasive surgery has been introduced for liver transplantations. Although laparoscopic or robot‐assisted living donor hepatectomy is being used, minimally invasive surgery is rarely performed in recipients during liver transplantation. A 63‐year‐old patient (body mass index: 21.9 kg/m2) wi...
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| Veröffentlicht in: | American journal of transplantation 2022-04, Vol.22 (4), p.1230-1235 |
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| container_title | American journal of transplantation |
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| creator | Lee, Kwang‐Woong Choi, YoungRok Hong, Suk Kyun Lee, Sola Hong, Su young Suh, Sanggyun Han, Eui Soo Yi, Nam‐Joon Suh, Kyung‐Suk |
| description | Minimally invasive surgery has been introduced for liver transplantations. Although laparoscopic or robot‐assisted living donor hepatectomy is being used, minimally invasive surgery is rarely performed in recipients during liver transplantation. A 63‐year‐old patient (body mass index: 21.9 kg/m2) with primary biliary cirrhosis underwent total laparoscopic explant hepatectomy, followed by robot‐assisted liver engraftment using advanced technological innovations. The total operation time for the recipient was 12 h 20 min, including laparoscopic explant hepatectomy (140 min) and robot‐assisted engraftment (220 min). Achieving hepatic and portal vein anastomoses consumed 35 and 28 min, respectively. The hepatic artery anastomosis and bile duct reconstruction took 83 and 66 min, respectively. The estimated blood loss was 3600 ml. The warm and cold ischemic times were 87 and 220 min, respectively. The patient received 10 units each of red blood cells and fresh frozen plasma during the surgery and recovered from early allograft dysfunction after liver transplantation. This case study suggests that laparoscopic explant hepatectomy followed by robot‐assisted engraftment is feasible in selected recipients only. We obtained informed consent for this innovative procedure from the patient and from her living donor.
Robot‐assisted engraftment is the stepping stone of the full‐scale application of robotic surgery to recipients in liver transplantation. |
| doi_str_mv | 10.1111/ajt.16943 |
| format | Article |
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Robot‐assisted engraftment is the stepping stone of the full‐scale application of robotic surgery to recipients in liver transplantation.</description><identifier>ISSN: 1600-6135</identifier><identifier>EISSN: 1600-6143</identifier><identifier>DOI: 10.1111/ajt.16943</identifier><identifier>PMID: 34971490</identifier><language>eng</language><publisher>United States: Elsevier Limited</publisher><subject>Allografts ; Anastomosis ; Bile ducts ; Blood & organ donations ; Body mass index ; Cirrhosis ; clinical research/practice ; Erythrocytes ; Female ; Hepatectomy ; Hepatectomy - methods ; Hepatic artery ; Humans ; Ischemia ; Laparoscopy ; Laparoscopy - methods ; Liver ; Liver cirrhosis ; Liver diseases ; Liver transplantation ; Liver Transplantation - methods ; liver transplantation/hepatology ; liver transplantation: living donor ; Liver transplants ; Living Donors ; Middle Aged ; minimally invasive surgery ; Patients ; Portal vein ; Primary biliary cirrhosis ; Robotics ; Robots ; Surgery ; Tissue and Organ Harvesting</subject><ispartof>American journal of transplantation, 2022-04, Vol.22 (4), p.1230-1235</ispartof><rights>2021 The American Society of Transplantation and the American Society of Transplant Surgeons</rights><rights>2021 The American Society of Transplantation and the American Society of Transplant Surgeons.</rights><rights>2022 The American Society of Transplantation and the American Society of Transplant Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3533-4cde027e7ba227ec8c38de910be6ff9d9265ea3c69c82650081bb4352d917b093</citedby><cites>FETCH-LOGICAL-c3533-4cde027e7ba227ec8c38de910be6ff9d9265ea3c69c82650081bb4352d917b093</cites><orcidid>0000-0001-6412-1926 ; 0000-0002-0020-6215 ; 0000-0001-9582-1255 ; 0000-0002-5467-425X ; 0000-0001-7985-2975 ; 0000-0001-6791-5668 ; 0000-0003-2408-7086 ; 0000-0002-9934-0456 ; 0000-0002-9535-7349</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fajt.16943$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fajt.16943$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34971490$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Kwang‐Woong</creatorcontrib><creatorcontrib>Choi, YoungRok</creatorcontrib><creatorcontrib>Hong, Suk Kyun</creatorcontrib><creatorcontrib>Lee, Sola</creatorcontrib><creatorcontrib>Hong, Su young</creatorcontrib><creatorcontrib>Suh, Sanggyun</creatorcontrib><creatorcontrib>Han, Eui Soo</creatorcontrib><creatorcontrib>Yi, Nam‐Joon</creatorcontrib><creatorcontrib>Suh, Kyung‐Suk</creatorcontrib><title>Laparoscopic donor and recipient hepatectomy followed by robot‐assisted liver graft implantation in living donor liver transplantation</title><title>American journal of transplantation</title><addtitle>Am J Transplant</addtitle><description>Minimally invasive surgery has been introduced for liver transplantations. Although laparoscopic or robot‐assisted living donor hepatectomy is being used, minimally invasive surgery is rarely performed in recipients during liver transplantation. A 63‐year‐old patient (body mass index: 21.9 kg/m2) with primary biliary cirrhosis underwent total laparoscopic explant hepatectomy, followed by robot‐assisted liver engraftment using advanced technological innovations. The total operation time for the recipient was 12 h 20 min, including laparoscopic explant hepatectomy (140 min) and robot‐assisted engraftment (220 min). Achieving hepatic and portal vein anastomoses consumed 35 and 28 min, respectively. The hepatic artery anastomosis and bile duct reconstruction took 83 and 66 min, respectively. The estimated blood loss was 3600 ml. The warm and cold ischemic times were 87 and 220 min, respectively. The patient received 10 units each of red blood cells and fresh frozen plasma during the surgery and recovered from early allograft dysfunction after liver transplantation. This case study suggests that laparoscopic explant hepatectomy followed by robot‐assisted engraftment is feasible in selected recipients only. We obtained informed consent for this innovative procedure from the patient and from her living donor.
Robot‐assisted engraftment is the stepping stone of the full‐scale application of robotic surgery to recipients in liver transplantation.</description><subject>Allografts</subject><subject>Anastomosis</subject><subject>Bile ducts</subject><subject>Blood & organ donations</subject><subject>Body mass index</subject><subject>Cirrhosis</subject><subject>clinical research/practice</subject><subject>Erythrocytes</subject><subject>Female</subject><subject>Hepatectomy</subject><subject>Hepatectomy - methods</subject><subject>Hepatic artery</subject><subject>Humans</subject><subject>Ischemia</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Liver</subject><subject>Liver cirrhosis</subject><subject>Liver diseases</subject><subject>Liver transplantation</subject><subject>Liver Transplantation - methods</subject><subject>liver transplantation/hepatology</subject><subject>liver transplantation: living donor</subject><subject>Liver transplants</subject><subject>Living Donors</subject><subject>Middle Aged</subject><subject>minimally invasive surgery</subject><subject>Patients</subject><subject>Portal vein</subject><subject>Primary biliary cirrhosis</subject><subject>Robotics</subject><subject>Robots</subject><subject>Surgery</subject><subject>Tissue and Organ Harvesting</subject><issn>1600-6135</issn><issn>1600-6143</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFO3DAQhq2qiF22HHgBZKkXetjFjh0nPq5QW0ArcaHnyHEmW68SO9he0N565Nhn7JPUkAUkJOYyI8-nTyP_CJ1QsqCpztUmLqiQnH1CUyoImQvK2efXmeUTdBTChhBaZGV2iCaMy4JySabocaUG5V3QbjAaN846j5VtsAdtBgM24t8wqAg6un6HW9d17gEaXO-wd7WL__78VSGYENNbZ-7B47VXbcSmHzplo4rGWWzs087Y9d4_gtErG96oL-igVV2A432foV8_vt9eXM5XNz-vLparuWY5Y3OuGyBZAUWtstR0qVnZgKSkBtG2spGZyEExLaQu00hISeuaszxrJC1qItkMnY3ewbu7LYRY9SZo6NIh4LahygTNJS0JJwn9-g7duK236bpEcSEKnrMyUd9GSqdvDB7aavCmV35XUVI9xVOleKrneBJ7ujdu6x6aV_IljwScj8CD6WD3salaXt-Oyv_GHZ1Q</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Lee, Kwang‐Woong</creator><creator>Choi, YoungRok</creator><creator>Hong, Suk Kyun</creator><creator>Lee, Sola</creator><creator>Hong, Su young</creator><creator>Suh, Sanggyun</creator><creator>Han, Eui Soo</creator><creator>Yi, Nam‐Joon</creator><creator>Suh, Kyung‐Suk</creator><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-6412-1926</orcidid><orcidid>https://orcid.org/0000-0002-0020-6215</orcidid><orcidid>https://orcid.org/0000-0001-9582-1255</orcidid><orcidid>https://orcid.org/0000-0002-5467-425X</orcidid><orcidid>https://orcid.org/0000-0001-7985-2975</orcidid><orcidid>https://orcid.org/0000-0001-6791-5668</orcidid><orcidid>https://orcid.org/0000-0003-2408-7086</orcidid><orcidid>https://orcid.org/0000-0002-9934-0456</orcidid><orcidid>https://orcid.org/0000-0002-9535-7349</orcidid></search><sort><creationdate>202204</creationdate><title>Laparoscopic donor and recipient hepatectomy followed by robot‐assisted liver graft implantation in living donor liver transplantation</title><author>Lee, Kwang‐Woong ; Choi, YoungRok ; Hong, Suk Kyun ; Lee, Sola ; Hong, Su young ; Suh, Sanggyun ; Han, Eui Soo ; Yi, Nam‐Joon ; Suh, Kyung‐Suk</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3533-4cde027e7ba227ec8c38de910be6ff9d9265ea3c69c82650081bb4352d917b093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Allografts</topic><topic>Anastomosis</topic><topic>Bile ducts</topic><topic>Blood & organ donations</topic><topic>Body mass index</topic><topic>Cirrhosis</topic><topic>clinical research/practice</topic><topic>Erythrocytes</topic><topic>Female</topic><topic>Hepatectomy</topic><topic>Hepatectomy - methods</topic><topic>Hepatic artery</topic><topic>Humans</topic><topic>Ischemia</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Liver</topic><topic>Liver cirrhosis</topic><topic>Liver diseases</topic><topic>Liver transplantation</topic><topic>Liver Transplantation - methods</topic><topic>liver transplantation/hepatology</topic><topic>liver transplantation: living donor</topic><topic>Liver transplants</topic><topic>Living Donors</topic><topic>Middle Aged</topic><topic>minimally invasive surgery</topic><topic>Patients</topic><topic>Portal vein</topic><topic>Primary biliary cirrhosis</topic><topic>Robotics</topic><topic>Robots</topic><topic>Surgery</topic><topic>Tissue and Organ Harvesting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kwang‐Woong</creatorcontrib><creatorcontrib>Choi, YoungRok</creatorcontrib><creatorcontrib>Hong, Suk Kyun</creatorcontrib><creatorcontrib>Lee, Sola</creatorcontrib><creatorcontrib>Hong, Su young</creatorcontrib><creatorcontrib>Suh, Sanggyun</creatorcontrib><creatorcontrib>Han, Eui Soo</creatorcontrib><creatorcontrib>Yi, Nam‐Joon</creatorcontrib><creatorcontrib>Suh, Kyung‐Suk</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of transplantation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kwang‐Woong</au><au>Choi, YoungRok</au><au>Hong, Suk Kyun</au><au>Lee, Sola</au><au>Hong, Su young</au><au>Suh, Sanggyun</au><au>Han, Eui Soo</au><au>Yi, Nam‐Joon</au><au>Suh, Kyung‐Suk</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic donor and recipient hepatectomy followed by robot‐assisted liver graft implantation in living donor liver transplantation</atitle><jtitle>American journal of transplantation</jtitle><addtitle>Am J Transplant</addtitle><date>2022-04</date><risdate>2022</risdate><volume>22</volume><issue>4</issue><spage>1230</spage><epage>1235</epage><pages>1230-1235</pages><issn>1600-6135</issn><eissn>1600-6143</eissn><abstract>Minimally invasive surgery has been introduced for liver transplantations. Although laparoscopic or robot‐assisted living donor hepatectomy is being used, minimally invasive surgery is rarely performed in recipients during liver transplantation. A 63‐year‐old patient (body mass index: 21.9 kg/m2) with primary biliary cirrhosis underwent total laparoscopic explant hepatectomy, followed by robot‐assisted liver engraftment using advanced technological innovations. The total operation time for the recipient was 12 h 20 min, including laparoscopic explant hepatectomy (140 min) and robot‐assisted engraftment (220 min). Achieving hepatic and portal vein anastomoses consumed 35 and 28 min, respectively. The hepatic artery anastomosis and bile duct reconstruction took 83 and 66 min, respectively. The estimated blood loss was 3600 ml. The warm and cold ischemic times were 87 and 220 min, respectively. The patient received 10 units each of red blood cells and fresh frozen plasma during the surgery and recovered from early allograft dysfunction after liver transplantation. This case study suggests that laparoscopic explant hepatectomy followed by robot‐assisted engraftment is feasible in selected recipients only. We obtained informed consent for this innovative procedure from the patient and from her living donor.
Robot‐assisted engraftment is the stepping stone of the full‐scale application of robotic surgery to recipients in liver transplantation.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>34971490</pmid><doi>10.1111/ajt.16943</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-6412-1926</orcidid><orcidid>https://orcid.org/0000-0002-0020-6215</orcidid><orcidid>https://orcid.org/0000-0001-9582-1255</orcidid><orcidid>https://orcid.org/0000-0002-5467-425X</orcidid><orcidid>https://orcid.org/0000-0001-7985-2975</orcidid><orcidid>https://orcid.org/0000-0001-6791-5668</orcidid><orcidid>https://orcid.org/0000-0003-2408-7086</orcidid><orcidid>https://orcid.org/0000-0002-9934-0456</orcidid><orcidid>https://orcid.org/0000-0002-9535-7349</orcidid></addata></record> |
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| ispartof | American journal of transplantation, 2022-04, Vol.22 (4), p.1230-1235 |
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| source | MEDLINE; Access via Wiley Online Library; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Allografts Anastomosis Bile ducts Blood & organ donations Body mass index Cirrhosis clinical research/practice Erythrocytes Female Hepatectomy Hepatectomy - methods Hepatic artery Humans Ischemia Laparoscopy Laparoscopy - methods Liver Liver cirrhosis Liver diseases Liver transplantation Liver Transplantation - methods liver transplantation/hepatology liver transplantation: living donor Liver transplants Living Donors Middle Aged minimally invasive surgery Patients Portal vein Primary biliary cirrhosis Robotics Robots Surgery Tissue and Organ Harvesting |
| title | Laparoscopic donor and recipient hepatectomy followed by robot‐assisted liver graft implantation in living donor liver transplantation |
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