演題

OP-069-8

Upper midline incision for graft procurement for adult-to-adult living donor liver transplantation.

[演者] 池上 徹:1
[著者] 調 憲:1, 吉住 朋晴:1, 山下 洋市:1, 播本 憲文:1, 伊藤 心ニ:1, 武石 一樹:1, 川中 博文:1, 池田 哲夫:1, 前原 喜彦:1
1:九州大学消化器・総合外科

Less invasive but safe procedures are optimal graft procurement for adult-to-adult living donor liver transplantation (AALDLT). Left lobe (n=35), right lobe (n=28) and posterior segment (n=1) grafts (upper midline; UMI group, n=64) were obtained with the mean incision length of 12.8 cm. The surgical outcomes were compared with hockey stick incision (HSI group, n=47). The UMI group had shorter operative time (296 vs. 353 min, p<0.01), less blood loss (264 vs. 392 ml, p<0.01), less fentanyl dosage for pain control (17.2 mg vs. 21.1 mg, p<0.01), less operative complication rate (7.8 vs. 21.3%, p=0.04), and shorter hospitalized days (8.7 vs. 12.0 days, p<0.01). UMI for living donor liver graft procurement is a secure, feasible, and less-invasive surgical technique for AALDLT.
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