A hybrid method of laparoscopic-assisted open liver resection through a short upper midline laparotomy can be applied for all types of hepatectomies

Soyama, Akihiko; Takatsuki, Mitsuhisa; Adachi, Tomohiko; Kitasato, Amane; Torashima, Yasuhiro; Natsuda, Koji; Tanaka, Takayuki; Yamaguchi, Izumi; Tanaka, Shiro; Kinoshita, Akio; Kuroki, Tamotsu; Eguchi, Susumu

doi:10.1007/s00464-013-3159-1

Cited by 26 publications

(30 citation statements)

References 20 publications

(16 reference statements)

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“…We have reported a hybrid procedure employing a combination of hand-assisted laparoscopic mobilization of the liver and subsequent hilar dissection and parenchymal resection under direct vision in living donor hepatectomy (1,4). In terms of the appearance, sensation and daily activities, our hybrid procedure was found to have a better donor self-assessment compared with those treated with a conventional incision, like a right subcostal incision or Mercedes-Benz incision (5).…”

Section: Introductionmentioning

confidence: 99%

Hybrid Procedure in Living Donor Liver Transplantation

Soyama

Takatsuki

Hidaka

et al. 2015

Transplantation Proceedings

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Section: Introductionmentioning

confidence: 99%

Hybrid Procedure in Living Donor Liver Transplantation

Soyama

Takatsuki

Hidaka

et al. 2015

Transplantation Proceedings

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“…Since the first complete pure laparoscopic left lateral segmentectomy for hepatocellular carcinoma was performed in 1995, we have expanded the adaptation of laparoscopic liver resection . Except for cases requiring an anterior approach or patients with a history of upper abdominal surgery, all other procedures were able to be performed through midline abdominal incision . This method has also been adopted for living donor (LD) hemihepatectomy and even for recipients .…”

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confidence: 99%

Standardized hybrid living donor hemihepatectomy in adult‐to‐adult living donor liver transplantation

Eguchi¹,

Soyama²,

Hara³

et al. 2018

Liver Transpl

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The aim of this study was to analyze the outcomes of the most updated version and largest group of our standardized hybrid (laparoscopic mobilization and hepatectomy through midline incision) living donor (LD) hemihepatectomy compared with those from a conventional laparotomy in adult-to-adult living donor liver transplantation (LDLT). Of 237 adult-to-adult LDLTs from August 1997 to March 2017, 110 LDs underwent the hybrid procedure. Preoperative and operative factors were analyzed and compared with conventional laparotomy (n = 126). The median duration of laparoscopic usage was 26 minutes in the hybrid group. Although there was improvement in applying this procedure over time from the beginning of the series of cases studied, blood loss and operative duration were still smaller and shorter in the hybrid group. There was no significant difference between the groups in the incidence of postoperative complications greater than or equal to Clavien-Dindo class III. There was no difference in recipient outcome between the groups. Our standardized procedure of hybrid LD hepatectomy is applicable and safe for all types of LD hepatectomies, and it enables the benefit of both the laparoscopic and the open approach in a transplant center without a laparoscopic expert. Liver Transplantation 24 363-368 2018 AASLD.

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“…A summary of surgical results of the hybrid technique is shown in Table . The mean operative time was 111–366.5 min, the estimated blood loss was 93–936 mL, the complication rate was 3.4–23.5%, and mortality rate was 0–1.1%.…”

Section: Resultsmentioning

confidence: 99%

Approaches to laparoscopic liver resection: a meta-analysis of the role of hand-assisted laparoscopic surgery and the hybrid technique

Hasegawa

Koffron

Buell

et al. 2015

J Hepatobiliary Pancreat Sci

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Laparoscopic liver resection has been established as a safe and feasible treatment option. Surgical approaches include pure laparoscopy, hand-assisted laparoscopy (HALS), and the hybrid technique. The role of these three approaches, and their superiority over open laparotomy, is not yet known. A literature review was performed using specific search phrases, relating to hand-assisted or hybrid approaches to laparoscopic liver resection. Surgical results from 18 case series (HALS, nine series; hybrid technique, nine series), each with ≥10 patients, were analyzed. Results indicated that HALS was associated with a mean operative time of 82-264.5 min, an estimated blood loss of 82-300 mL, and a complication rate of 3.8-27.1%. Analysis of series involving the hybrid technique indicated a mean operative time of 111-366.5 min, an estimated blood loss of 93-936 mL, and a complication rate of 3.4-23.5%. In conclusion, there is insufficient evidence to conclude that any single approach is superior to the others, although HALS and the hybrid technique are useful when dealing with difficulties associated with pure laparoscopy. Conversely, the need for these two methods, which can function as a bridge to pure laparoscopic liver resection, may be overcome with appropriate training.

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A hybrid method of laparoscopic-assisted open liver resection through a short upper midline laparotomy can be applied for all types of hepatectomies

Abstract: Background Although hepatectomy procedures should be designed to provide both

Cited by 26 publications

References 20 publications

Hybrid Procedure in Living Donor Liver Transplantation

Hybrid Procedure in Living Donor Liver Transplantation

Standardized hybrid living donor hemihepatectomy in adult‐to‐adult living donor liver transplantation

Approaches to laparoscopic liver resection: a meta-analysis of the role of hand-assisted laparoscopic surgery and the hybrid technique

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