title: Evolution of surgical technique in conventional open hepatectomy for living liver donation over a 12-year period in a single center.
abstract: We report details of the experience from the largest Italian program with hepatic living donation, focusing particularly on the use of intraoperative ultrasound in liver transplantation and living donation. During a 12-year period we changed our surgical technique in the conventional open procedures thanks to the experience gained into the laparoscopic setting. Intraoperative ultrasound has been implemented during these delicate procedures for ensuring a fast and safer detection of the accessory veins and final severing of the vascular stumps during liver transection.
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Pagano
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy; Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
authors.forename: M
authors.initials: M
authors.lastname: Spada
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: D
authors.initials: D
authors.lastname: Cintorino
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Li Petri
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Ricotta
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Bonsignore
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Maruzzelli
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: S
authors.initials: S
authors.lastname: Caruso
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Vizzini
authors.affiliation: Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione-University of Pittsburgh Medical Center, Palermo, Italy; Department of Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address: sgruttadauria@ismett.edu.
authors.forename: S
authors.initials: S
authors.lastname: Gruttadauria
mesh_terms: D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D007430:Intraoperative Care; D007558:Italy; D010535:Laparoscopy; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging*; D016031:Liver Transplantation / Q000379:methods*; D019520:Living Donors; D014463:Ultrasonography