Abstract
Objective: To present the technique of Laparoscopic Living Donor Liver Resection of Left Lateral Segment for Pediatric Liver Transplantation. Methods: Images from laparoscopic surgeries, performed by the authors, that best illustrate this technique were selected, showing the most important steps of the procedure for better understanding. Results: The video shows: Positioning of the patient. Trocar site and number. Liver liberation. Identification of vascular structures and control; portal vein, hepatic artery and accessory left hepatic artery, originated from the left gastric artery. Transection line demarcation with electro cautery. Transection of the parenchyma at this level. Section of the portal vein, hepatic arteries and left hepatic vein. Extraction of the Left Lateral Segment through a suprapubic incision. Hemostasis and drain installation. Time of the procedure, after the learning curve is less than 5 hours. We have no mortality, reoperations or important complications in this series of 8 patients. Post operative length of stay is between 3 and 7 days with a median of 4 days. Conclusion: Laparoscopic Living Donor Left Lateral Liver Resection for Pediatric Transplantation is a feasible and safe procedure that permits to increase the organ pool for transplantation.
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