The team assessed laparoscopic living donor partial hepatectomy for liver transplantation in children, and reported their findings in this week's issue of the Lancet.
Left hepatic lobectomy (resection of segments 2 and 3) was done by laparoscopy in one woman aged 27 years and one man aged 31 years.
The grafts were prepared under laparoscopy, without any vascular clamping, and were externalized through a suprapubic Pfannenstiel incision.
Both grafts were transplanted conventionally to the patients' respective sons, who were both aged 1-year and had biliary atresia.
Donor operations lasted 7 hours for the woman and 6 hours for the man, and warm ischaemia times were 4 and 10 min, respectively.
It was found that blood loss was 150 and 450 ml, respectively, and no transfusions were required.
Neither patient had complications during or after surgery; and hospital stay was 7 and 5 days, respectively.
| Graft donors did not experience complications during or after surgery.
Both recipients were alive at the time the paper was published and had excellent graft function.
Professor Daniel Cherqui, of the Henri Mondor Hospital, Créteil, said on behalf of fellow authors, "We have shown the feasibility of laparoscopic living donor partial hepatectomy from parent to child.
"If the safety and feasibility of this procedure can be shown in larger series, laparoscopic donor left lobectomy could become a new option for pediatric living donor liver transplantation," he concluded.
In the same issue of the journal, a team from Lyon, France, describe a new technique of adult liver transplantation, in which a small-for-size partial liver graft was transplanted into the recipient.