Duct division in pure laparoscopic donor hepatectomy: DELHI technique

Presenter: Ashish Singhal MBBS, DNB | Fortis Hospitals Background: Pure laparoscopic donor hepatectomy (PLDH) has become an accepted surgical procedure in living liver transplantation (LDLT). This study aimed to report our technique of duct division PLDH: Duct by Extraglissonian Looping after Hilar plate Incision (DELHI). Methods: The medical records 147 consecutive (10/ 2019 - 12/2020) LDLTs at center were retrospectively reviewed. PLDH (n=65) and Open (ODH, n=82) groups compared. DELHI Technique: is lifted up from proposed biliary confluence sharply incised shears create a triangular space above the confluence. Subsequently, right hepatic looped. done under ICG guidance. Results: There was no difference baseline operative characteristics recipient between two groups. postoperative complications among donors or recipients Conclusion: Using technique, can be performed safely as ODH. Further analysis including long-term outcomes are required.