Robotic Versus Open Right Lobe Donor Hepatectomy for Adult Living Donor Liver Transplantation: A Propensity Score–Matched Analysis
Journal
Liver Transplantation
Journal Volume
26
Journal Issue
11
Pages
1455-1464
Date Issued
2020
Author(s)
Broering D.C.
Elsheikh Y.
Alnemary Y.
Zidan A.
Elsarawy A.
Saleh Y.
Alabbad S.
Sturdevant M.
Troisi R.I.
Abstract
Robotic right lobe donor hepatectomy (RRLDH) is rarely performed, and data concerning its safety and efficacy are lacking. Here we compare our series of RRLDHs with a similar cohort undergoing open right lobe donor hepatectomy (ORLDH) with a propensity score–matched (PSM) analysis. Among 263 consecutive adult patients undergoing right lobe living donor hepatectomy from January 2015 until July 2019, 35 RRLDHs were matched to 70 ORLDHs. A 1:2 PSM analysis was performed to make the groups comparable for donor sex, age, and body mass index (BMI) and for recipient sex, age, BMI, Model for End-Stage Liver Disease score, and indication for transplant. Operative time was longer in RRLDHs compared with ORLDHs (504?±?73.5 versus 331?±?65.1?minutes; P?
SDGs
Other Subjects
alanine aminotransferase; aspartate aminotransferase; bilirubin; acute graft rejection; acute hemorrhagic pancreatitis; adult; alanine aminotransferase level; arterial circulation; Article; ascites; aspartate aminotransferase level; bile leakage; bilirubin blood level; bleeding; body mass; female; fungemia; graft recipient; heart arrest; hepatic artery thrombosis; hospital readmission; human; intermethod comparison; intestine perforation; ischemia; laparotomy; length of stay; liver donor; liver resection; liver transplantation; living donor; lung embolism; major clinical study; male; Model For End Stage Liver Disease Score; mycosis; open surgery; operation duration; operative blood loss; patient controlled analgesia; pneumonia; portal vein obstruction; portal vein thrombosis; postoperative hemorrhage; postoperative pain; priority journal; propensity score; retransplantation; right liver lobe; robot assisted surgery; sepsis; sudden cardiac death; surgical mortality; surgical technique; vein reconstruction; visual analog scale; wound infection; adverse event; end stage liver disease; laparoscopy; liver resection; living donor; postoperative complication; retrospective study; severity of illness index; Adult; End Stage Liver Disease; Hepatectomy; Humans; Laparoscopy; Length of Stay; Liver Transplantation; Living Donors; Postoperative Complications; Propensity Score; Retrospective Studies; Robotic Surgical Procedures; Severity of Illness Index
Publisher
John Wiley and Sons Ltd
Type
journal article