الفهرس 
Living Donor Liver TransplantationOnly 14 pages are availabe for public view
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Abstract
Background: Live-organ donation is a noble human sign that should be respected. Thus, it is essential that complications in terms of the donor be minimized as much as possible and the surgeons must safely perform living donor liver procurement.
Aim of the Work: To evaluate the feasibility, safety and effectiveness of using CUSA & bipolar diathermy for liver resection in living donor liver transplantation (LDLT) and its short-term benefits with follow up evaluation in comparison with using harmonic scalpel alone.
Patients and Methods: This prospective study included 40 consecutive donors had liver resection for LDLT, for patients who operated by LDLT. The surgical procedures were held at two centers: Nasser Institute of Health & Research and Air Force Specialized Hospital during the period from September 2017 to September 2018.
Results: The results of the our study showed that harmonic scalpel in the context of right hepatectomy in LTLD donor operation, significantly reduced the total operative time with a tendency toward an estimated reduced blood loss and blood transfusion, however is caused a higher rate of biliary leakage. But as CUSA device can better identify and isolate vascular and biliary structures, which are then closed tightly with clips or ligated with a polypropylene suture showing a better results regarding bile leak that was reflected on shorter hospital stay.
Conclusion: We believe that our results should be taken into consideration when deciding which techniques or devices are most safe and effective. The question of whether any alternative transection technique provides a benefit over the other needs a bigger number of cases and a longer follow up so we can provide a full insights into the benefit–risk ratio of different methods for parenchymal transection.