Table. 1.

Donor demographics, preoperative variables, and operative outcomes

Open (n = 19) Pure laparoscopic (n = 25) p-value
Demographics
Sex, male:female 11:8 20:5 0.111
Age (yr) 30.0 (23.5–44.0) 29.0 (24.0–39.0) 0.738
Relationship 0.058
Son/daughter 10 21
Father/mother 0 1
Brother/sister 4 1
Husband/wife 3 2
Others 2 0
BMI (kg/m2) 31.8 (30.9–32.3) 31.4 (30.3–32.5) 0.526
ABO incompatibility 1 (5.3) 7 (28.0) 0.111
Preoperative variables
Estimated remnant liver volume (%) 34.6 (33.7–37.6) 34.6 (32.2–37.4) 0.553
Estimated right graft volume 535.0 (469.0–615.0) 541.0 (475.0–625.0) 0.810
Estimated GRWR 1.5 (1.2–1.6) 1.5 (1.4–1.6) 0.883
Expected number of openings from preoperative image
Hepatic artery > 0.999
1 19 (100) 24 (96.0)
2 0 (0) 1 (4.0)
Portal vein > 0.999
1 17 (89.5) 23 (92.0)
2 2 (10.5) 2 (8.0)
Bile duct 0.148
1 17 (89.5) 17 (68.0)
2 2 (10.5) 8 (32.0)
Operative outcomes
Macrovesicular fatty change (%) 3.0 (1.0–5.0) 2.0 (1.0–5.0) 0.567
Operative time (min) 295.0 (252.5–307.5) 288.0 (270.0–325.0) 0.810
Liver removal time (min) 181.0 (161.0–203.0) 208.0 (188.0–239.0) 0.011
Time after liver removal (min) 98.0 (89.0–114.0) 74.0 (71.0–84.0) < 0.001
Warm ischemic time (min) 4.0 (3.0–6.0) 15.0 (10.0–18.0) 0.011
Intraoperative transfusion 0 (0) 0 (0) NS
Graft weight (g) 888.0 (790.0–979.0) 886.5 (780.0–1,030.0) 0.815
Real GRWR 1.3 (1.1–1.5) 1.3 (1.1–1.5) 0.930
Inclusion of middle hepatic vein 1 (5.9) 1 (4.0) > 0.999
Postoperative blood tests
Hb
Lowest (g/dL) 12.0 (10.6–12.8) 12.4 (11.7–13.1) 0.290
Delta% 21.8 (13.3–27.2) 18.9 (15.0–23.6) 0.483
Total bilirubin (mg/dL)
Peak 2.2 (1.6–3.7) 3.1 (2.5–4.8) 0.035
Delta% 325.0 (241.7–625.0) 833.3 (533.3–960.0) 0.007
AST (IU/L)
Peak 176.0 (139.5–237.5) 207.0 (157.0–249.0) 0.209
Delta% 885.0 (846.1–1,203.0) 1,194.1 (900.0–1,487.5) 0.026
ALT (IU/L)
Peak 153.0 (111.5–226.0) 221.0 (191.0–261.0) 0.009
Delta% 990.9 (629.3–1,440.0) 1,130.8 (944.0–1,503.7) 0.137
Hospital stay (day) 8.0 (7.0–9.0) 7.0 (7.0–8.0) 0.020
Complication
I 2 (10.5) 1 (4.0) 0.570
II 1 (5.3) 2 (8.0) > 0.999
IIIa 0 (0) 1 (4.0) > 0.999
IIIB 0 (0) 0 (0) NS

Values are presented as median (interquartile range) or number (%).

BMI, body mass index; GRWR, graft to recipient weight ratio; AST, aspartate transaminase; ALT, alanine transaminase; NS, not significant.

Ann Hepatobiliary Pancreat Surg 2024;28:337-43 https://doi.org/10.14701/ahbps.24-020
© 2024 Ann Hepatobiliary Pancreat Surg