Kausar Makki, Mohd Qaleem, Nalini Kanta Ghosh, Yogesh Yadav, Tathagata Karan, Piyush Srivastava, Anil Agarwal, Vivek Vij
{"title":"Right posterior sector graft via pure laparoscopic donor hepatectomy: a video presentation.","authors":"Kausar Makki, Mohd Qaleem, Nalini Kanta Ghosh, Yogesh Yadav, Tathagata Karan, Piyush Srivastava, Anil Agarwal, Vivek Vij","doi":"10.7602/jmis.2025.28.3.158","DOIUrl":null,"url":null,"abstract":"<p><p>Right posterior segment graft (RPSG) in cases of living donor hepatectomy expands the donor pool; however, obtaining RPSG laparoscopically makes the procedure technically challenging. The first pure laparoscopic RPSG was performed in 2021, and since then, only a few cases have been reported in the literature. We herewith elaborate on our technique of laparoscopic RPSG, which is the first case to be reported from India. A 30-year-old surgically fit gentleman was planned for RPSG given the low future liver remnant for the modified right lobe graft (25.9%). Details of the surgical steps were being described in the supplementary video. The duration of surgery was 630 minutes, and blood loss was 750 mL (bleeding from a slipped clip). He was discharged in a stable condition on postoperative day 7. Laparoscopic RPSG is challenging yet feasible.</p>","PeriodicalId":73832,"journal":{"name":"Journal of minimally invasive surgery","volume":"28 3","pages":"158-163"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12439051/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of minimally invasive surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7602/jmis.2025.28.3.158","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Right posterior segment graft (RPSG) in cases of living donor hepatectomy expands the donor pool; however, obtaining RPSG laparoscopically makes the procedure technically challenging. The first pure laparoscopic RPSG was performed in 2021, and since then, only a few cases have been reported in the literature. We herewith elaborate on our technique of laparoscopic RPSG, which is the first case to be reported from India. A 30-year-old surgically fit gentleman was planned for RPSG given the low future liver remnant for the modified right lobe graft (25.9%). Details of the surgical steps were being described in the supplementary video. The duration of surgery was 630 minutes, and blood loss was 750 mL (bleeding from a slipped clip). He was discharged in a stable condition on postoperative day 7. Laparoscopic RPSG is challenging yet feasible.
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