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Right hepatic lobe living donation: A 12 years single Italian center experience

查看全文 作  者:Salvatore [1,2]Gruttadauria;Duilio [1]Pagano;Davide [1,2]Cintorino;Antonio [1]Arcadipane;Mario [1]Traina;Riccardo [1]Volpes;Angelo [1]Luca;Giovanni [1]Vizzini;Bruno [1,2]Gridelli;Marco [1,2]Spada 高影响力作者 机构地区:[1]Istituto Mediterraneo Trapianti e Terapie ad Alta Specializzazione,University of Pittsburgh Medical Center in Italy,90127 Palermo,Italy;[2]Department of Surgery,University of Pittsburgh Medical Center,Pittsburgh,PA 15213,United States高影响力机构 出  处:《World Journal of Gastroenterology》索引2013年第19卷第38期,共7页高影响力期刊 摘  要:Mini invasive techniques are taking over conventional open liver resections in the setting of left lateral segmentectomy for living liver donation,and hydride procedure are being implemented for the living related right hepatectomy.Our center routinely performs laparoscopic left lateral segmentectomy for pediatric recipient and has been the first in the Europe performing an entirely robotic right hepatectomy.Great emphasis is posed on living donor safety which is the first priority during the entire operation,then the most majority of our procedures are still conventional open right hepatectomy(RHLD),defined as removal of a portion of liver corresponding to Couinaud segments 5-8,in order to obtain a graft for adult to adult living related liver transplant.During this 10 years period some changes,herein highlighted,have occurred to our surgical techniques.This study reports the largest Italian experience with RHLD,focused on surgical technique evolution over a 10 years period.Donor safety must be the first priority in right-lobe living-related donation:the categorization of complications of living donors,specially,after this'highly sensitive'procedure,reflects the need for prompt and detailed reports. 关 键 词:Adult-to-adult living-related LIVER TRANSPLANTATION LIVER regeneration LIVER resections LIVER TRANSPLANTATION LIVER surgery
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