Postoperative outcomes of purely laparoscopic donor hepatectomy compared to open living donor hepatectomy: a preliminary observational study.

Abstract

PURPOSE:

To lessen the physical, cosmetic, and psychological burden of donors, purely laparoscopic donor hepatectomy (PLDH) has been proposed as an ideal method for living donors. Our study aimed to prospectively compare the effect of PLDH and 2 other types of open living donor hepatectomy (OLDH) on postoperative pain and recovery.

METHODS:

Sixty donors scheduled to undergo donor hepatectomy between March 2015 and November 2017 were included. Donors were divided into 3 groups by surgical technique: OLDH with a subcostal incision (n = 20), group S; OLDH with an upper midline incision (n = 20), group M; and PLDH (n = 20), group L. The primary outcomes were postoperative pain and analgesic requirement during postoperative day (POD) 3. Other variables regarding postoperative recovery were also analyzed.

RESULTS:

Although pain relief during POD 3, assessed by visual analog scale (VAS) score and analgesic requirement, was similar among the 3 groups, group L showed lower VAS scores and opioid requirements than group M. Moreover, group L was associated with a rapid postoperative recovery evidenced by the shorter hospital length of stay and more frequent return to normal activity on POD 30.

CONCLUSION:

This pilot study failed to verify the hypothesis that PLDH reduces postoperative pain. PLDH did not reduce postoperative pain but showed faster recovery than OLDH.

• Authors: Yu Jeong Bang, Joo Hyun Jun, Mi Sook Gwak, Justin Sangwook Ko, Jong Man Kim, Gyu Seong Choi, Jae Won Joh, Gaab Soo Kim
• Journal: Annals of surgical treatment and research (Ann Surg Treat Res) Vol. 100 Issue 4 Pg. 235-245 (Apr 2021) ISSN: 2288-6575 [Print] Korea (South)
• PMID: 33854993 (Publication Type: Journal Article)
• Copyright: Copyright © 2021, the Korean Surgical Society.