Laparoscopic left lateral sectionectomy in pediatric living donor liver transplantation by single-port approach:A case report
作者机构：Liver Transplantation CenterBeijing Friendship HospitalCapital Medical UniversityBeijing 100050China
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2020年第8卷第23期
页 面：6103-6109页
核心收录：
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
基 金：Supported by Capital Research Project for Specialty Clinical Application No.Z181100001718220
主 题：Pediatric living donor liver transplantation Laparoscopy Single-port approach Intraoperative indocyanine green fluorescence cholangiography Treatment Case report
摘 要：BACKGROUND Single-port laparoscopy has been used in a variety of abdominal *** report the first case of single-port laparoscopic left lateral sectionectomy in pediatric laparoscopic living donor liver *** SUMMARY A 28-year-old man volunteered for living liver donation to his daughter who was diagnosed with liver cirrhosis and portal hypertension after the Kasai procedure for biliary *** body mass index was 20.5 kg/*** dynamic computed tomography showed:(1)Left lateral graft volume of 232.76 cm3 with a graft-torecipient weight ratio of 2.59%;and(2)Right hepatic artery derived from the superior mesenteric artery.A single-port access system was placed through a transumbilical incision,including four trocars:two 12-mm ports for a camera and endoscopic stapler and two 5-mm working *** parenchyma was dissected by a Harmonic and Cavitron Ultrasonic Surgical Aspirator,while bipolar was used for *** bile duct was transected above the bifurcation by indocyanine green fluorescence *** specimen was retrieved from the umbilical *** total operation time was 4 h without blood *** final graft weight was 233.6 g with graft-torecipient weight ratio of 2.60%.The donor was discharged uneventfully on postoperative day *** Single-port laparoscopic left lateral sectionectomy is feasible in pediatric laparoscopic living donor liver transplantation in an experienced transplant center.
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