Highlight
– The Laennec technique leverages an anatomy-based dissection around Laennec’s capsule and Glissonean pedicle sheath to standardize right robotic donor hepatectomy.
– In 35 consecutive cases at a high-volume U.S. center, the approach demonstrated safety with low blood loss, low complication rate (20%), and zero bile leaks.
– The technique offers a reproducible operative framework suited for teaching and potentially reducing variability in robotic donor liver procedures.
– Multicenter prospective studies are warranted to validate generalizability and long-term outcomes.
