This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS
Comparison of open and laparoscopic live donor left lateral sectionectomy. BJS 2011; 98: 1302-1308.
Published: 30th June 2011
Authors: K. H. Kim, D. H. Jung, K. M. Park, Y. J. Lee, D. Y. Kim, K. M. Kim et al.
Background
The present study was undertaken to determine whether laparoscopic live donor left lateral sectionectomy (LLS) in paediatric liver transplantation is a feasible, safe and reproducible procedure, compared with open live donor left lateral sectionectomy (OLS).
Method
A retrospective review was conducted of all consecutive live donor procedures for paediatric liver transplantation performed between May 2008 and October 2009. All live donor hepatectomies were carried out by a single surgeon.
Results
A total of 26 live donor procedures for paediatric liver transplantation were performed, of which 11 were LLS and 11 OLS; four left hepatectomies were excluded. The LLS group had a significantly shorter hospital stay (mean(s.d.) 6·9(0·3) versus 9·8(0·9) days; P = 0·001) and time to oral diet (2·1(0·3) versus 2·7(0·4) days; P = 0·012). Duration of operation, blood loss, warm ischaemia time and out‐of‐pocket medical costs were comparable between groups. There was no death in either donor group and only one complication, a wound seroma, in the OLS group.
Conclusion
LLS seemed to be a safe, feasible and reproducible procedure, and was associated with reduced hospital stay. Copyright © 2011 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
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