Intercostal and transthoracic trocars enable easier laparoscopic resection of dome liver lesions

Abstract

The ITT approach is safe, effective and complementary to standard laparoscopic techniques for the resection of small tumours in segments VII and VIII.

Operative and short-term oncologic outcomes of laparoscopic versus open liver resection for colorectal liver metastases located in the posterosuperior liver: a propensity score matching analysis

“…Recently several studies have determined that transthoracic port placement for LLR of liver tumors located in posterosuperior segments can permit excellent visualization and a sufficient workspace [18,32,26,33]. As described by Ogiso et al [26], we considered deep tumor location, cranial location, large diameter, and proximity to major vessels to be especially important considerations favoring intercostal port placement, and permitting LLR even for tumors located in posterosuperior segments (Fig.…”

The Southampton Consensus Guidelines for Laparoscopic Liver Surgery

“…Compared to OLR, LLR is associated with reduced blood loss and hospital stay (47) . A trans-thoracic approach and modified to the patient's position may be useful alternatives to the classic approach to the postero-superior segments (48,49) . The perioperative outcomes of robotic and laparoscopic resections of the postero-superior segments appear to be similar in terms of blood loss, hospital stay, morbidity and completeness of resection (50).…”

Laparoscopic resection of hepatocellular carcinoma in patients with and without cirrhosis: the Brisbane experience

“…Surgical technique had been described previously. [20,21] In brief, pneumoperitoneum was established via an open access technique and maintained at 12-15 mmHg. Four to 6 working ports were used.…”