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- W4312708508 abstract "Introduction: Donors with type III portal vein are often accepted for right lobe donations. Recently right donor hepatectomy by a minimally invasive technique using laparoscopy or Da Vinci robot has been described. However, donors with type III portal veins are usually avoided for minimally invasive techniques. We describe a safe technique of robotic right hepatectomy for donors with type III portal veins. Method: Liver transection and bile duct division are completed first. Right anterior and posterior portal branches can now be dissected separately without difficulty. In type III portal vein configuration we do not use stapler. Instead, we apply hem-o-lok clips, two on the donor side & one on the graft side each, for anterior and posterior portal vein branches, separately prior to division. After graft retrieval, if any narrowing or kink is noted portal vein on the donor side, the distal hem-o-lok to the narrowed area, usually adjacent to the anterior breach is removed. After suturing with 6-0 prolene, the proximal hem-o-lok is removed as well. This leaves the graft portal vein intact without any narrowing or kinks. Results: Out of 188 donors who had robotic right donor hepatectomy, 10 had type 3 portal vein. The above technique was performed in 3, due to suspicion of portal vein narrowing. At 1-year follow-up, all are doing well. Conclusion: Technique of hem-o-lok application & subsequent suturing with removal of hem-o-lok appears to be safe alternative to staplers in right lobe robotic hepatectomy in donor with type III portal vein." @default.
- W4312708508 created "2023-01-05" @default.
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- W4312708508 date "2022-01-01" @default.
- W4312708508 modified "2023-10-18" @default.
- W4312708508 title "Robotic Donor Hepatectomy in a Donor with Type III Portal Vein Configuration" @default.
- W4312708508 doi "https://doi.org/10.1016/j.hpb.2022.05.1315" @default.
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