Chirurgia del Fegato a Firenze!

Dal 1° Marzo 2023, Chirurgia del Fegato sarà all'Università di Firenze
AOUC Azienda Ospedaliero-Universitaria Careggi - Largo Brambilla, 3 - 50134 Firenze

Soubrane esegue il prelievo del fegato destro per trapianto da vivente nell’adulto con tecnica totalmente laparoscopica

Sulla rivista American Journal of Transplantation, il chirurgo Olivier Soubrane, dell’pital St. Antoine, Université Pierre et Marie Curie, a Parigi, in Francia, descrive il primo caso di prelievo dell’emifegato destro a scopo di trapianto da vivente nell’adulto per via totalmente laparoscopica.

La donatrice era la sorella di 50 anni di una paziente portatrice di insufficienza epatica terminale secondaria ad una cirrosi biliare primitiva. Il volume dell’emifegato destro (segmenti 5-8) era 620 cm3 e rappresentava il 56% del suo fegato intero.

Sono stati usati 5 accessi laparoscopici per eseguire la procedura chirurgica.

La referenza bibliografica per questo evento è:

O. Soubrane, F. Perdigao Cotta, O. Scatton: Pure laparoscopic right hepatectomy in a living donor. In: American Journal of Transplantation, vol. 13, no. 9, pp. 2467 – 2471, 2013, ISSN: 16006143, (Cited by: 98).

Abstract

After reporting the first laparoscopic hepatectomy in a living donor for pediatric liver transplantation, we now report a case of pure laparoscopic right hepatectomy for adult transplantation. A 50-year-old female volunteered for living donation to her sister who suffered from primary biliary cirrhosis. The volume of the planned hepatic graft (segments 5-8) was 620 cm3, representing 56% of her entire liver. Five ports were used in the donor to perform the operative procedure. The right hepatic artery and portal vein were isolated. Parenchymal division was performed using an ultrasonic dissector, bipolar coagulation and clips for hemostasis. Cholangiography was performed and the right bile duct was cut at the level of a marker thread. The right liver graft was placed in a bag and removed through a 10-cm suprapubic incision. The veins of segments 5 and 8 were recanalized and the graft was transplanted in the recipient. The postoperative course was uneventful for both the donor and recipient. This case offers evidence that the right liver can be procured via a total laparoscopic approach. This technique may allow for an early rehabilitation for the living donor. The authors report the technical details of a case of pure laparoscopic right hepatectomy in a live liver donor for intra-familial adult-to-adult transplantation. See editorial by Akoad and Pomfret on page 2243 and case reports on pages 2462 and 2472. © Copyright 2013 The American Society of Transplantation and the American Society of Transplant Surgeons.

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Chirurgia del Fegato all'Università di Firenze!

Chirurgia Epato-Bilio-Pancreatica

AOUC Azienda Ospedaliero-Universitaria Careggi
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