Pure laparoscopic donor right hepatectomy in patients over 50 years old: Why age should not be a barrier.

adult donor hepatectomy laparoscopy liver liver transplantation living donors retrospective studies

Journal

Clinical transplantation
ISSN: 1399-0012
Titre abrégé: Clin Transplant
Pays: Denmark
ID NLM: 8710240

Informations de publication

Date de publication:
Dec 2023
Historique:
revised: 30 07 2023
received: 24 05 2023
accepted: 20 08 2023
pubmed: 4 9 2023
medline: 4 9 2023
entrez: 2 9 2023
Statut: ppublish

Résumé

Given the global aging population, the average age of liver donors is increasing. This study aimed to evaluate the surgical outcomes of grafts from pure laparoscopic donor right hepatectomy (PLDRH) in liver donors aged > 50 years. The medical records of liver donors were retrospectively reviewed. The donors underwent conventional donor right hepatectomy (CDRH) from January 2011 to May 2019 or PLDRH from March 2016 to May 2019. We divided the donors into three groups: PLDRH donors aged ≥50 (n = 26; Group 1) and aged < 50 (n = 257; Group 2), and CDRH donors aged ≥50 years (n = 66; Group 3). Operation time (p < .01) and hospital stay (p < .01) were significantly lower in Group 1 than in Group 3. Other postoperative outcomes of donors including graft anatomical variation, graft weight, graft-to-recipient weight ratio, and hepatic steatosis were similar among the three groups. Although no postoperative complications occurred in Groups 1 and 3, they were detected in 17 cases (6.6%) in Group 2. No postoperative complications were detected among the recipients. PLDRH was feasible and safe in donors aged over 50 years, with outcomes similar to those for donors aged <50 years. PLDRH should not be avoided solely based on the donor's age ≥50 years.

Identifiants

pubmed: 37658832
doi: 10.1111/ctr.15117
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e15117

Informations de copyright

© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

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Auteurs

Eui Soo Han (ES)

Department of Surgery, The Catholic University of Korea, Uijeongbu ST. Mary's Hospital, Uijeongbu-si, South Korea.

Suk Kyun Hong (SK)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Kwangpyo Hong (K)

Uijeongbu Eulji Medical Center, Eulji University School of Medicine, Uijeongbu-si, South Korea.

Su Young Hong (SY)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Jeong-Moo Lee (JM)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

YoungRok Choi (Y)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Nam-Joon Yi (NJ)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Kwang-Woong Lee (KW)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Kyung-Suk Suh (KS)

Department of Surgery, Seoul National University College of Medicine, Seoul, South Korea.

Classifications MeSH