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World J Gastroenterol. Nov 14, 2014; 20(42): 15590-15598
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15590
Published online Nov 14, 2014. doi: 10.3748/wjg.v20.i42.15590
Laparoscopic liver resection for living donation: Where do we stand?
François Cauchy, Lilian Schwarz, Olivier Scatton, Olivier Soubrane, Service de Chirurgie Hépato-Bilio-Pancréatique et Transplantation Hépatique, Hôpital Saint-Antoine, Assistance Publique - Hôpitaux de Paris, 75012 Paris, France
Olivier Soubrane, Department of HPB Surgery and Liver Transplantation, Hopital Beaujon, 92110 Clichy, France
Author contributions: Cauchy F, Schwarz L and Soubrane O designed the research; Cauchy F and Schwarz L performed the research; Cauchy F, Schwarz L and Scatton O analyzed the data; Cauchy F and Schwarz L wrote the paper; Scatton O and Soubrane O gave an important intellectual contribution; Scatton O and Soubrane O supervised.
Correspondence to: Olivier Soubrane, MD, Professor, Department of HPB Surgery and Liver Transplantation, Hopital Beaujon, 100 Boulevard du Général Leclerc, 92110 Clichy, France. olivier.soubrane@sat.aphp.fr
Telephone: +33-1-40875895
Received: May 28, 2014
Revised: July 21, 2014
Accepted: September 5, 2014
Published online: November 14, 2014
Revised: July 21, 2014
Accepted: September 5, 2014
Published online: November 14, 2014
Core Tip
Core tip: Initial concerns regarding patient’s safety and graft integrity, need for acquiring surgical expertise in both laparoscopic liver surgery and living donor transplantation (LDLT) and lack of evidence supporting the benefits of laparoscopy have delayed the development of this approach in LDLT. Preliminary experiences of laparoscopic liver resection for LDLT have begun with laparoscopic left lateral sectionectomy for adult-child LDLT, where the procedure is now well standardized and provides satisfactory results. On the other hand, lack of standardization and multiplicity of the techniques currently limit the evaluation of this approach in the setting of major liver resection for adult-adult LDLT.