Jaekeun Kim, MD, PhD, Yee Lee Cheah, MD, Caroline J Simon, MD, Mohamed E Akoad, MD. Lahey Hospital & Medical Center
Robotic living donor right hepatectomy is a technically challenging operation. Accepted benefits of minimally invasive surgery include less postoperative pain, enhanced postoperative recovery with faster return to pre-donation status, and reduced morbidity. Our tertiary academic transplant center performed its first two robotic living donor right hepatectomies. These were performed in a totally robotic fashion and without open conversion. There were no procedural complications or postoperative events affecting recovery.
This is an edited 7-minute video of one of these cases.
The patient is a 26-year-old healthy female who successfully completed the living donor evaluation process. She underwent a robust informed consent process and went on to donate her right liver to her father who had decompensated end stage liver disease secondary to primary sclerosing cholangitis. Her right liver volume was 760g leaving her with a remnant of 38%. The estimated graft to body weight ratio was 0.98.
This entirely robotic right liver donation was performed without any intraoperative complications. The estimated blood loss was 100 mL. The donor was extubated in good condition at the end of the operation and resumed oral liquids on the first postoperative day. She recovered without untoward issues or events, and was discharged home in good condition on postoperative day 6.
She had no readmissions and has been seen at scheduled postoperative visits. Both donors and their recipients have recovered fully from their operations are currently doing well.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94270
Program Number: V139
Presentation Session: Plenary II
Presentation Type: Video