title: Comparison of open and laparoscopic live donor left lateral sectionectomy.
abstract: BACKGROUND
  The present study was undertaken to determine whether laparoscopic live donor left lateral sectionectomy (LLS) in paediatric liver transplantation is a feasible, safe and reproducible procedure, compared with open live donor left lateral sectionectomy (OLS).
  
  
  METHODS
  A retrospective review was conducted of all consecutive live donor procedures for paediatric liver transplantation performed between May 2008 and October 2009. All live donor hepatectomies were carried out by a single surgeon.
  
  
  RESULTS
  A total of 26 live donor procedures for paediatric liver transplantation were performed, of which 11 were LLS and 11 OLS; four left hepatectomies were excluded. The LLS group had a significantly shorter hospital stay (mean(s.d.) 6·9(0·3) versus 9·8(0·9) days; P = 0·001) and time to oral diet (2·1(0·3) versus 2·7(0·4) days; P = 0·012). Duration of operation, blood loss, warm ischaemia time and out-of-pocket medical costs were comparable between groups. There was no death in either donor group and only one complication, a wound seroma, in the OLS group.
  
  
  CONCLUSIONS
  LLS seemed to be a safe, feasible and reproducible procedure, and was associated with reduced hospital stay.
authors: Division of Hepatobiliary Surgery and Liver Transplantation, University of Ulsan College of Medicine and Asan Medical Centre, Songpa-gu, Seoul, Korea. khkim620@amc.seoul.kr
authors: K H
authors: KH
authors: Kim
authors: D H
authors: DH
authors: Jung
authors: K M
authors: KM
authors: Park
authors: Y J
authors: YJ
authors: Lee
authors: D Y
authors: DY
authors: Kim
authors: K M
authors: KM
authors: Kim
authors: S G
authors: SG
authors: Lee
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical; D017281:Cost of Illness; D058625:End Stage Liver Disease / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007223:Infant; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D016896:Treatment Outcome; D052096:Warm Ischemia