Living donor liver transplantation (LDLT) is an important option for patients with end-stage liver disease requiring liver transplantation. When performing LDLT, the safety and well being of donors is of the utmost importance. The conventional incision for donor hepatectomy is a right subcostal incision with a midline extension up to xiphoid. Minimally invasive liver surgery throughout a single 10 cm upper midline incision without laparoscopic assistance has been widely applied and considered to be safe and effective. Recently, laparoscopic and minimally invasive living donor hepatectomy via transverse incision has been suggested to reduce morbidity and the invasiveness of living donor hepatectomy. Although minimally invasive approach has become the surgical method of choice for many transplant centers, little data on comparing the impact of all three different type incision in living liver donors. In our center, the investigators have adopted three different incision according to surgical teams. The investigators undertook this study with the aims of comparing the pain and quality of life of donors according to type of three different incisions and assessing any benefits to the donor due to the smaller midline incision during the early postoperative period.
Study Type
OBSERVATIONAL
Enrollment
60
This study was a single center, nonrandomized, observational comparative analysis of 3 different surgical technique. Three surgical teams operated alternately at our center, and donors undergoing hepatectomy via three different incision
Samsung Medical Center
Seoul, South Korea
donor recovery/quality of life (as measure bye the quality of recovery [OoR] score)
QoR (quality of recovery) -15, has recently been developed, which can provide an extensive yet efficient evaluation of postoperative recovery from the patient's perspective \[8\]. The QoR-15 is an abbreviation of the longer and more comprehensive QoR-40 \[15\], and includes questions on pain, physical comfort, physical independence, psychological support and emotional state, and can be completed in approximately 2 minutes.
Time frame: postoperative 7 day
consumption of analgesics on postoperative day
Time frame: 1, 4, 8, 24, 48 and 72 h after surgery
discomfort related to the scar
abdominal wall sensorineural deficits (numbness and differences in tactile and temperature sensations) and tightness around the scar
Time frame: postoperative 7 day
discomfort related to the scar
abdominal wall sensorineural deficits (numbness and differences in tactile and temperature sensations) and tightness around the scar
Time frame: postoperative 30 day
side effects (nausea, vomiting, back pain, pruritus)
nausea, vomiting, back pain, pruritus
Time frame: 1, 4, 8, 24, 48 and 72 h after surgery
donor recovery/quality of life (as measure bye the quality of recovery [OoR] score)
QoR (quality of recovery) -15, has recently been developed, which can provide an extensive yet efficient evaluation of postoperative recovery from the patient's perspective \[8\]. The QoR-15 is an abbreviation of the longer and more comprehensive QoR-40 \[15\], and includes questions on pain, physical comfort, physical independence, psychological support and emotional state, and can be completed in approximately 2 minutes.
Time frame: postoperative 30 day
assessment of subjective pain (as measured by numeric rating scale [NRS]) on postoperative day
numeric rating scale (NRS) in which; 0 = no pain and 100 = worst pain
Time frame: 1, 4, 8, 24, 48 and 72 h after surgery
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