{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:44:32Z","timestamp":1782603872733,"version":"3.54.5"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T00:00:00Z","timestamp":1430870400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2015,5,6]],"date-time":"2015-05-06T00:00:00Z","timestamp":1430870400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Liver Transpl"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:p>Living donor liver transplantation has failed to become a major means of transplantation in the United States, where &lt;5% of the transplants are performed with living donors. At least 30% to 50% of the complications of donor hepatectomy appear to be related to abdominal wall trauma, including hernia, bowel obstruction, and chronic abdominal discomfort. We analyzed our experience with laparoscopically procured donor hepatectomy. We compared 22 full laparoscopic donor hepatectomies to 20 open\/hybrid hepatectomies over an 11\u2010year period. Donor and recipient demographics, complications, and graft and recipient outcomes were analyzed. All 22 laparoscopically procured liver allografts were transplanted successfully. The laparoscopically procured grafts took longer to procure (7 hours 58 minutes versus 6 hours 38 minutes; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009&lt;\u20090.001). The laparoscopically procured cases had lower blood loss (177.3 versus 3753 cc; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009&lt;\u20090.001), a shorter length of stay, and significantly reduced days off work (<jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u2009.01). The 1\u2010year graft survival was not different (90% in the laparoscopic group and 85% in the open group; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.70). The 1\u2010year patient survival was not different (95% in the laparoscopic group and 85% in the open group; <jats:italic toggle=\"yes\">P<\/jats:italic>\u2009=\u20090.32). There was a trend toward lower wound issues in the laparoscopic group, but this did not reach significance (the hybrid\/open group had a 15% hernia rate versus 5% for the laparoscopic group). In experienced living donor centers, laparoscopic liver donation appears to be feasible for all pediatric recipients and some adult recipients. Outcomes for the recipients of laparoscopically procured grafts do not appear significantly different from outcomes with hybrid\/open techniques. <jats:italic toggle=\"yes\">Liver Transpl 21:768\u2013773, 2015<\/jats:italic>. \u00a9 2015 AASLD.<\/jats:p>","DOI":"10.1002\/lt.24116","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T08:17:27Z","timestamp":1426580247000},"page":"768-773","source":"Crossref","is-referenced-by-count":68,"title":["Fully laparoscopic left\u2010sided donor hepatectomy is safe and associated with shorter hospital stay and earlier return to work: A comparative study"],"prefix":"10.1097","volume":"21","author":[{"given":"Benjamin","family":"Samstein","sequence":"first","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam","family":"Griesemer","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Cherqui","sequence":"additional","affiliation":[{"name":"Centre H\u00e9pato\u2010Biliaire, AP\u2010HP,H\u00f4pital Paul Brousse,Villejuif,France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Mansour","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Pisa","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Yegiants","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyson N.","family":"Fox","sequence":"additional","affiliation":[{"name":"Center for Liver Disease and Transplantation,Columbia University,New York,NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James V.","family":"Guarrera","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoaki","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim J.","family":"Halazun","sequence":"additional","affiliation":[{"name":"Emory Transplant Center,Emory University,Atlanta,GA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean","family":"Emond","sequence":"additional","affiliation":[{"name":"Department of Surgery"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2015,5,6]]},"reference":[{"key":"lt24116-bib-0001-20240115","doi-asserted-by":"crossref","first-page":"1313","DOI":"10.1002\/hep.24494","article-title":"Liver transplant recipient survival benefit with living donation in the Model for End\u2010Stage Liver Disease allocation era","volume":"54","year":"2011","journal-title":"Hepatology"},{"key":"lt24116-bib-0002-20240115","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1097\/00000658-199009000-00015","article-title":"Application of reduced\u2010size liver transplants as split grafts, auxiliary orthotopic grafts, and living related segmental transplants","volume":"212","year":"1990","journal-title":"Ann Surg"},{"key":"lt24116-bib-0003-20240115","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1097\/01.sla.0000179646.37145.ef","article-title":"Outcomes of 385 adult\u2010to\u2010adult living donor liver transplant recipients: a report from the A2ALL Consortium","volume":"242","year":"2005","journal-title":"Ann Surg"},{"key":"lt24116-bib-0004-20240115","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1053\/j.gastro.2011.11.015","article-title":"Estimates of early death, acute liver failure, and long\u2010term mortality among live liver donors","volume":"142","year":"2012","journal-title":"Gastroenterology"},{"key":"lt24116-bib-0005-20240115","doi-asserted-by":"crossref","first-page":"1208","DOI":"10.1111\/j.1600-6143.2011.03972.x","article-title":"Complications of living donor hepatic lobectomy\u2014a comprehensive report","volume":"12","year":"2012","journal-title":"Am J Transplant"},{"key":"lt24116-bib-0006-20240115","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/S0140-6736(02)07598-0","article-title":"Laparoscopic living donor hepatectomy for liver transplantation in children","volume":"359","year":"2002","journal-title":"Lancet"},{"key":"lt24116-bib-0007-20240115","doi-asserted-by":"crossref","first-page":"506","DOI":"10.1097\/SLA.0000000000000642","article-title":"Pure laparoscopic left lateral sectionectomy in living donors: from innovation to development in France","volume":"261","year":"2015","journal-title":"Ann Surg"},{"key":"lt24116-bib-0008-20240115","doi-asserted-by":"crossref","first-page":"1302","DOI":"10.1002\/bjs.7601","article-title":"Comparison of open and laparoscopic live donor left lateral sectionectomy","volume":"98","year":"2011","journal-title":"Br J Surg"},{"key":"lt24116-bib-0009-20240115","doi-asserted-by":"crossref","first-page":"2522","DOI":"10.1111\/j.1600-6143.2006.01498.x","article-title":"Laparoscopic\u2010assisted right lobe donor hepatectomy","volume":"6","year":"2006","journal-title":"Am J Transplant"},{"key":"lt24116-bib-0010-20240115","doi-asserted-by":"crossref","first-page":"2462","DOI":"10.1111\/ajt.12360","article-title":"Totally laparoscopic full left hepatectomy for living donor liver transplantation in adolescents and adults","volume":"13","year":"2013","journal-title":"Am J Transplant"},{"key":"lt24116-bib-0011-20240115","doi-asserted-by":"crossref","first-page":"2472","DOI":"10.1111\/ajt.12362","article-title":"Pure laparoscopic full\u2010left living 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Hepatobiliary Pancreat Surg"},{"key":"lt24116-bib-0015-20240115","doi-asserted-by":"crossref","first-page":"3269","DOI":"10.1111\/ajt.12471","article-title":"Totally laparoscopic right\u2010lobe hepatectomy for adult living donor liver transplantation: useful strategies to enhance safety","volume":"13","year":"2013","journal-title":"Am J Transplant"},{"key":"lt24116-bib-0016-20240115","doi-asserted-by":"crossref","first-page":"1031","DOI":"10.1007\/s00464-010-1309-2","article-title":"Incisional hernia, midline versus low transverse incision: what is the ideal incision for specimen extraction and hand\u2010assisted laparoscopy?","volume":"25","year":"2011","journal-title":"Surg Endosc"},{"key":"lt24116-bib-0017-20240115","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1007\/s10029-008-0469-7","article-title":"Incisional hernia after upper abdominal surgery: a randomised controlled trial of midline versus transverse 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