Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft
Background. Liver transplantation (LT) in children with low body weight using the left lateral segment from a living donor is associated with large-for-size syndrome (LFSS). We present the first Russian clinical case of laparoscopic living-donor hepatectomy to acquire an S2 graft. Materials and meth...
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| Format: | Article |
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Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov
2025-03-01
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| Series: | Вестник трансплантологии и искусственных органов |
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| Online Access: | https://journal.transpl.ru/vtio/article/view/1902 |
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| author | A. R. Monakhov V. R. Salimov S. V. Meshcheryakov I. I. Kurbanov D. I. Bystrov S. V. Gautier |
| author_facet | A. R. Monakhov V. R. Salimov S. V. Meshcheryakov I. I. Kurbanov D. I. Bystrov S. V. Gautier |
| author_sort | A. R. Monakhov |
| collection | DOAJ |
| description | Background. Liver transplantation (LT) in children with low body weight using the left lateral segment from a living donor is associated with large-for-size syndrome (LFSS). We present the first Russian clinical case of laparoscopic living-donor hepatectomy to acquire an S2 graft. Materials and methods. A six-month-old child who had biliary atresia-induced liver cirrhosis was prepared for transplantation. The child’s 20-year-old mother was the donor. The left lateral segment had a volume of 426 mL (graft-to-recipient weight ratio, GRWR, was 5.9%). Indocyanine green fluorescence-guided laparoscopic intracorporeal reduction up to the S2 segment was performed. Results. Donor operation time was 230 minutes, blood loss was 50 ml. The postoperative period was uneventful; the donor was discharged on day 9. The recipient had no surgical complications; a rejection episode was successfully managed. The child was discharged with a satisfactory graft function. Discussion. Fluorescenceguided laparoscopic living-donor hepatectomy to acquire an S2 graft is effective and safe. The presented technique may be an effective solution when performing monosegmental LT under the high-risk conditions of LFSS. |
| format | Article |
| id | doaj-art-e37649ec54a347d2be0aa68347f59cf6 |
| institution | Kabale University |
| issn | 1995-1191 |
| language | Russian |
| publishDate | 2025-03-01 |
| publisher | Federal Research Center of Transplantology and Artificial Organs named after V.I.Shumakov |
| record_format | Article |
| series | Вестник трансплантологии и искусственных органов |
| spelling | doaj-art-e37649ec54a347d2be0aa68347f59cf62025-08-20T03:38:22ZrusFederal Research Center of Transplantology and Artificial Organs named after V.I.ShumakovВестник трансплантологии и искусственных органов1995-11912025-03-01271323910.15825/1995-1191-2025-1-32-391328Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graftA. R. Monakhov0V. R. Salimov1S. V. Meshcheryakov2I. I. Kurbanov3D. I. Bystrov4S. V. Gautier5Shumakov National Medical Research Center of Transplantology and Artificial Organs ; Sechenov UniversityShumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial OrgansSechenov UniversityVolzhsky Branch of Shumakov National Medical Research Center of Transplantology and Artificial OrgansShumakov National Medical Research Center of Transplantology and Artificial Organs ; Sechenov UniversityBackground. Liver transplantation (LT) in children with low body weight using the left lateral segment from a living donor is associated with large-for-size syndrome (LFSS). We present the first Russian clinical case of laparoscopic living-donor hepatectomy to acquire an S2 graft. Materials and methods. A six-month-old child who had biliary atresia-induced liver cirrhosis was prepared for transplantation. The child’s 20-year-old mother was the donor. The left lateral segment had a volume of 426 mL (graft-to-recipient weight ratio, GRWR, was 5.9%). Indocyanine green fluorescence-guided laparoscopic intracorporeal reduction up to the S2 segment was performed. Results. Donor operation time was 230 minutes, blood loss was 50 ml. The postoperative period was uneventful; the donor was discharged on day 9. The recipient had no surgical complications; a rejection episode was successfully managed. The child was discharged with a satisfactory graft function. Discussion. Fluorescenceguided laparoscopic living-donor hepatectomy to acquire an S2 graft is effective and safe. The presented technique may be an effective solution when performing monosegmental LT under the high-risk conditions of LFSS.https://journal.transpl.ru/vtio/article/view/1902monosegment liver transplantationlaparoscopic living-donor hepatectomypediatric transplantationindocyanine green |
| spellingShingle | A. R. Monakhov V. R. Salimov S. V. Meshcheryakov I. I. Kurbanov D. I. Bystrov S. V. Gautier Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft Вестник трансплантологии и искусственных органов monosegment liver transplantation laparoscopic living-donor hepatectomy pediatric transplantation indocyanine green |
| title | Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft |
| title_full | Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft |
| title_fullStr | Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft |
| title_full_unstemmed | Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft |
| title_short | Fluorescence-guided laparoscopic living-donor hepatectomy to acquire an S2 graft |
| title_sort | fluorescence guided laparoscopic living donor hepatectomy to acquire an s2 graft |
| topic | monosegment liver transplantation laparoscopic living-donor hepatectomy pediatric transplantation indocyanine green |
| url | https://journal.transpl.ru/vtio/article/view/1902 |
| work_keys_str_mv | AT armonakhov fluorescenceguidedlaparoscopiclivingdonorhepatectomytoacquireans2graft AT vrsalimov fluorescenceguidedlaparoscopiclivingdonorhepatectomytoacquireans2graft AT svmeshcheryakov fluorescenceguidedlaparoscopiclivingdonorhepatectomytoacquireans2graft AT iikurbanov fluorescenceguidedlaparoscopiclivingdonorhepatectomytoacquireans2graft AT dibystrov fluorescenceguidedlaparoscopiclivingdonorhepatectomytoacquireans2graft AT svgautier fluorescenceguidedlaparoscopiclivingdonorhepatectomytoacquireans2graft |