纯腹腔镜和开放供体右肝切除术的比较结果：来自东南亚移植中心的一份报告

与传统的开放式供体右肝切除术 (CODRH) 相比，纯腹腔镜供体右肝切除术 (PLDRH) 可为供体提供更好的手术结果。 然而，程序的复杂性通常使移植团队不愿意执行它，尤其是在小批量移植中心。 比较了 PLDRH 和 CODRH 的结果，以证明 PLDRH 在小容量移植计划中的可行性。

对2015年1月至2021年3月在清迈大学医院进行的成人肝移植进行了回顾性研究，将患者分为PLDRH组和CODRH组。 比较两组供者和受者的基线特征、手术参数和术后并发症。

30 名患者在所选日期之间接受了供体肝切除术（9 名 PLDRH 患者和 21 名 CODRH 患者）。 2组的基线特征无显著差异。 PLDRH组中位移植物体积为693.8 mL，与CODRH组（726.5 mL）无显著差异 PLDRH组手术时间长于CODRH组，但差异无统计学意义（487.5 min 对比 425.0 分钟，p = 0.197）。 两组间的总体并发症发生率无显著差异（33.3% vs 22.2%，p = 0.555）。 此外，对于接受者，主要并发症的发生率在各组之间没有显著差异（71.3 对 55.6%，p = 0.792）。

即使在这个低容量移植项目的背景下，其工作人员在微创肝胆外科手术方面具有丰富的经验，PLDRH 在供体和受体的围手术期结果方面也显示出与 CODRH 相似的结果。

纯腹腔镜和开放供体右肝切除术的比较结果：来自东南亚移植中心的一份报告

患者、手术团队和端口位置

纯腹腔镜和开放供体右肝切除术的比较结果：来自东南亚移植中心的一份报告

血管流入识别和缺血分界。 a 右肝动脉和右门静脉分别用红色和蓝色松紧带包裹，然后用 endo-bulldog 夹暂时控制。 b 通过叠加的近红外成像显示和标记的缺血分界线。 c 腹腔镜超声用于识别肝中静脉

纯腹腔镜和开放供体右肝切除术的比较结果：来自东南亚移植中心的一份报告

肝实质横断结扎后肝中静脉术前计划

纯腹腔镜和开放供体右肝切除术的比较结果：来自东南亚移植中心的一份报告

纯腹腔镜供体右肝切除术中实时 ICG 胆管造影辅助胆管切开

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