Pushing the frontiers of living donor right hepatectomy

Table 1 Modifications in technique and management of living donor right hepatectomy in the authors’ institution

Modifications	From case No. onwards
Use of an electric coagulator to pierce abdominal wall for a drainage tube instead of using a cutting end connected to a closed-suction drain	45
Upper midline incision above umbilicus	55
Dosage reduction of intravenous heparin given before graft removal from 50 IU/kg to 25 IU/kg	93
Use of surgical wound protector	112
Hanging maneuver from the start of liver parenchymal transection by initial Glisson’s approach	165
Intraoperative cholangiography replaced by MRC	165
No intensive care unit stay after surgery	167
No central venous catheterization	169
Bile duct cut just 2 mm to the right side of the confluence changed from 1 mm	200
Dosage reduction of intravenous heparin given before graft removal from 25 IU/kg to 5 IU/kg	271

MRC: Magnetic resonance cholangiography.