Abstract
Background: During the last few years laparoscopic approach for living donor hepatectomy (LLDH) widely spread among high volume centers and proved its safety for donors and recipients. Our LLDH program was launched at 2016. Since this period the method established as routine for LLS donors. Analysis of own experience focused on LDLT in children was a subject of the study. Methods: 83 LLDH were performed between April 2016 and May 2019. Following graft types were procured laparoscopically: left lateral section (LLS) in 77 cases (including one case of combined LLDH and lap nephrectomy), left lobe (LL) in 5 (including combined case with lap nephrectomy) and right lobe (RL) in one case. Results: Average donors age was 30 (± 4,37) years. Mean intraoperative bloodless was 83 (± 29,6) ml. The mean operation time was 294 (± 48) min. Length of hospital was stay 4,3 (± 1.4) days. Follow up There was one Clavien grade IIIb complication, and three grade IIIa complications. Conversion to open surgery was carried out once due to technical complexity. Conclusions: Laparoscopic LLS safe and feasible for most of living donors. In the same time criteria for major LLDH still should be quite strict. Developed pediatric LDLT program can be a basis for successful implementation of LLDH.
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