Prospective registry for laparoscopic liver resection

Abstract

Minor resection of LLR has been performed safely. To ensure the safe dissemination of LLR, including for major resection, a larger multicenter prospective study is required.

Evolution of Laparoscopic Liver Surgery from Innovation to Implementation to Mastery: Perioperative and Oncologic Outcomes of 2,238 Patients from 4 European Specialized Centers

“…It should be noted that most of the currently available reports on LLR come from Asian centers where HCC is predominant, and CRLM cases are more frequent in Europe; therefore, a difference in geographic epidemiology could explain the discrepancy of results. 36 Either way, both CRLM and HCC represent the most amenable indications to LLR because of the earlier return to systemic therapy and parenchyma preserving benefits (possibly influencing reoperability) on one hand and because of the diminished manipulation, preservation of collaterals, and decreased decompensation and ascites production on the other hand. [37][38][39][40] Despite this, due to the increased chance of bleeding, cirrhosis is still treated with caution, as evidenced by the low percentage of cirrhotic patients in this series (Table 1).…”

“…In this setting, the role of audited national registries could be extremely important for developing evidence, especially given the difficulty in establishing randomized controlled trials. 36…”

Knowledge and Surgical Strategies for Successful Laparoscopic Caudate Lobectomy, a Comprehensive Literature Review

“…Operative techniques and features LCL operative techniques and features have been described in multicentre cohort studies, case series and case reports (Table 5) [3][4][5][6][7][8][9][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36]. All the analysed cases have been carried out laparoscopically.…”

“…An isolate laparoscopic caudate lobectomy (iLCL) is indicated for some symptomatic benign or malignant (primary or secondary) lesions arising in segment I. Some reports address the results of postero-superior LLRs compared with the anterolateral ones, but few papers are exclusively focused on iLCL which accounted for only 2.9% of 102 LLRs enrolled in a Japanese prospective registry [3,4]. iLCL has been described in some case series and case reports from single institutions, but a real standardization of the laparoscopic approach to the dorsal liver, with an appraisal of the technical skills and technology needed, is still lacking among the laparoscopic liver surgeons' community [4][5][6][7][8][9][10].…”

Optimal introduction of laparoscopic liver resection for Child–Pugh B

“…Therefore, given the options of liver resection, radiofrequency ablation (RFA), transcatheter arterial chemoembolization, and sorafenib, the most beneficial treatment for Child–Pugh B patients still remains controversial . Currently, laparoscopic minor hepatectomy, such as non‐anatomical liver resection and left lateral sectionectomy, is becoming standard practice ; it offers several advantages compared with conventional open liver resection . In particular, the low invasiveness of laparoscopic liver resection (LLR) for hepatocellular carcinoma (HCC) with cirrhosis has been emphasized , but the acceptable indication criteria for LLR for Child–Pugh B patients have not been identified.…”