Glissonian approach for pure laparoscopic donor hepatectomy

Yasushi Hasegawa, Hiroyuki Nitta, Takeshi Takahara, Hirokatsu Katagiri, Shoji Kanno, Akira Umemura, Akira Sasaki


Background: Since the technique is still being developed, pure laparoscopic donor hepatectomy (PLDH) remains controversial in terms of its safety and efficacy. In this study, we focused on the Glissonian pedicle approach, an important technique in liver surgery. Our aim was to determine whether the Glissonian pedicle approach is an appropriate method for PLDH.
Methods: We retrospectively reviewed a database of patients undergone living donor liver transplantation (LDLT) at our institution.
Results: In total, 14 patients underwent the Glissonian pedicle approach for PLDH. Of these, 10 underwent right liver grafts, and 4 underwent left liver grafts. The median operative time was 384 min (range, 280–563 min), and the median amount of bleeding was 75 mL (range, 21–1,228 mL). Conversion to open procedure occurred in one patient (7.1%). A bile leakage occurred in one patient (7.1%).
Conclusions: We found that the Glissonian approach for PLDH can be successfully performed with good operative outcomes.