Minimally invasive donor hepatectomy, are we ready for prime time?

Table 2 Outcomes of donor hepatectomy with mini-laparotomy

	LLS	Left	Right	OT (min)	Blood loss (mL)	WIT (min)	HS (d)	Donor Cx	Recipient Cx
Comparative study
Kim et al[53], 2009			23/23	232 ± 291/269 ± 37	186 ± 59/218 ± 67	-	10 ± 3/12 ± 4	3 (13.0%)a	1 (4.3%)b
Thenappan et al[46], 2011c	8/7	-	-	312 ± 68/324 ± 106	1033 ± 1096/733 ± 457	-	6.0 ± 2.0/6.4 ± 3.7	2 (13.3%)d	7 (46.7%)e
Nagai et al[55], 2012f			9/30	371 ± 52/363 ± 53	212 ± 1141/316 ± 121	-	5.9 ± 1.21/7.8 ± 2.3	7 (25.0%)g	10 (35.7%)h
Shen et al[51], 2016i			20/28	366 ± 45/386 ± 50	416 ± 164/383 ± 180	2.9 ± 1.5/3.0 ± 1.6	7.3 ± 1.6/7.4 ± 2.5	1 (5.0%)j
Case series
Lee et al[54], 2011			141	254 ± 47	352 ± 144	-	10 ± 3	25 (17.7%)k	51 (36.2%)l

¹Statistically significant;

^aIntra-abdominal bleeding (n = 2) and pleural effusion (n = 1);

^bBile leak requiring laparotomy (n = 1);

^cCombined results of 15 hybrid and mini-laparotomy compared with 15 open operations, types of graft other than left lateral section not specified;

^dBile leak (n=1) and incisional hernia (n = 1);

^eBile leak (n = 2), vascular complications (n = 3), intra-abdominal collection (n = 1) and chylous ascites (n = 1);

^fCombined results of 19 hybrid and 9 mini-laparotomies compared with 30 open operations;

^gIntra-abdominal bleeding (n = 1), bile leak (n = 1), intra-abdominal collection (n = 1), ileus (n = 2), deep vein thrombosis (n = 1) and phlebitis (n = 1);

^hBile leak (n = 2), biliary stricture (n = 2), hepatic artery stricture (n = 2), hepatic vein stricture (n = 2) and intra-abdominal collection (n = 2);

ⁱMini-laparotomy (n = 20) compared against laparoscopic-assisted (n = 28);

^jPneumonia;

^kRhabdomyolysis (n = 1), intra-abdominal bleeding (n = 4), bile leak (n = 4), ileus (n = 2) and grade I complications (n = 14);

^lBiliary complications (n = 36), intra-abdominal bleeding (n = 5) and vascular complications (n = 6). Cx: Complications; HS: Hospital stay; LLS: Left lateral section; OT: Operating time; WIT: Warm ischaemic time.