Publication:
Anesthesia management in laparoscopic donor hepatectomy: the first report from Turkey

dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorKarataş, Cihan
dc.contributor.kuauthorAkbulut, Akın
dc.contributor.kuauthorGürkan, Yavuz
dc.contributor.kuauthorOğuz, Bahadır Hakan
dc.contributor.kuauthorKanmaz, Turan
dc.contributor.kuauthorAlim, Altan
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2025-01-19T10:27:47Z
dc.date.issued2023
dc.description.abstractBackground. We aimed to report a single-center experience in laparoscopic donor left-side and right-side hepatectomy cases regarding preoperative evaluation, perioperative and anesthetic management protocols, and postoperative follow-up.Methods. Laparoscopic donor left-side and right-side hepatectomy cases were included in the study because of their excessive transection area and bleeding potential. Medical records of liv-ing donors were reviewed in terms of age, sex, body mass index (BMI), presence of consanguin-ity with the recipient, perioperative and early postoperative biochemical parameters, hemodynamic changes during surgery, duration of surgery, the ratio of liver volume to total liver volume, perioperative complications, and length of hospital stay.Results. Eighty-one laparoscopic living -donor hepatectomy procedures were performed in our unit between 2018 and 2022. Six laparoscopic donor right-side cases and two left-side cases were retrospectively reviewed. Donors' mean age and BMI were 29.6 & PLUSMN; 8.6 years and 23.1 & PLUSMN; 4.3, respectively. The average weights of the right and left lobe liver grafts were 727 g and 279 g, respectively, constituting 65.8% and 22.7% of the total liver volume, respectively. The mean operation time was 593 & PLUSMN; 94 minutes, and the mean volume of blood loss was 437 & PLUSMN; 294 mL. A major complication, namely portal vein stenosis, developed in 1 donor (1/8), and por-tal vein patency was achieved postoperatively.Conclusions. Anesthesia management and teamwork between surgeons and anesthesiologists are the most important building blocks for donor safety, which is of the utmost priority. Effective communication and cooperation in the operating room may prevent potential donor complica-tions and improve postoperative recovery time.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue5
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume55
dc.identifier.doi10.1016/j.transproceed.2023.01.033
dc.identifier.eissn1873-2623
dc.identifier.issn0041-1345
dc.identifier.quartileQ4
dc.identifier.scopus2-s2.0-85153868047
dc.identifier.urihttps://doi.org/10.1016/j.transproceed.2023.01.033
dc.identifier.urihttps://hdl.handle.net/20.500.14288/25609
dc.identifier.wos1035653700001
dc.keywordsAnesthesia
dc.keywordsHepatectomy
dc.keywordsHumans
dc.keywordsLaparoscopy
dc.keywordsLiver
dc.keywordsLiver transplantation
dc.keywordsLiving donors
dc.keywordsPostoperative complications
dc.keywordsRetrospective studies
dc.keywordsTurkey
dc.language.isoeng
dc.publisherElsevier Science Inc
dc.relation.ispartofTransplantation Proceedings
dc.subjectImmunology
dc.subjectSurgery
dc.subjectTransplantation
dc.titleAnesthesia management in laparoscopic donor hepatectomy: the first report from Turkey
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorAkbulut, Akın
local.contributor.kuauthorAlim, Altan
local.contributor.kuauthorKarataş, Cihan
local.contributor.kuauthorOğuz, Bahadır Hakan
local.contributor.kuauthorKanmaz, Turan
local.contributor.kuauthorGürkan, Yavuz
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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