Current Status of Laparoscopic Liver Resection: Experiences from Tertiary Center

Periyasamy, Mohan; Han, Ho‐Seong; Cho, Jai Young; Yoon, Yoo‐Seok; Choi, Young Rok; Jang, Jae Seong; Kwon, Sun U.; Kim, Sungho; Choi, Jihye; Guro, Hanisah

doi:10.7602/jmis.2017.20.4.125

Cited by 2 publications

(3 citation statements)

References 33 publications

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“…There are several limitations of laparoscopic liver resection, including the loss of tactile sensation, difficulty of maintaining adequate traction, and the narrower view of the dissection plane, which may ultimately lead to increased blood loss and longer operation time compared with open resection 13 . However, advances in imaging, instruments, surgical technique, and surgical experience have led to increased uptake of laparoscopic resection 14 .The main technical challenges of caudate lobectomy are proper exposure of the caudate lobe due to its location deep inside the liver and to control bleeding, which may be substantial if the surrounding major vessels are injured. Compared with open surgery, laparoscopy provides a unique viewing angle from below with superior magnification and illumination, allowing greater visibility of this deep region that is otherwise difficult to visualize by the naked eye 15 .…”

Section: Discussionmentioning

confidence: 99%

“…Anatomical resection follows oncological principles by removing all of the liver parenchyma with potential tumor involvement 7 . Moreover, anatomical resection is generally safer with less intraoperative blood loss owing to ligation of the tumor-bearing portal pedicles with limited parenchymal resection 14 . In our study, three out of 12 patients in the laparoscopy group (25%) and one out of nine patients in the open group (11.1%) underwent anatomical resection of the caudate lobe.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic isolated caudate lobe resection

Parikh¹,

Han

Cho

et al. 2021

Sci Rep

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Previously, isolated caudate lobectomy was rarely performed and the caudate lobe was usually resected along with other segments. Isolated caudate lobe resection is a challenging procedure even for an experienced surgeon. Our aim was to evaluate the feasibility, safety and outcomes of laparoscopic isolated caudate lobectomy and to compare these with the open technique. We retrospectively analyzed 21 patients who underwent isolated caudate lobectomy between January 2005 and December 2018 at Seoul National University Bundang Hospital. Patients who underwent either anatomical or non-anatomical resection of the caudate lobe were included. Patients were divided into two groups according to whether they underwent laparoscopic or open surgery. Intra-operative and postoperative outcomes were compared with a median follow-up of 43 months (4–149). A total of 21 patients were included in the study. Of these, 12 (57.14%) underwent laparoscopic and nine (42.85%) underwent open caudate lobectomy. Median operation time (204.5 vs. 200 minutes, p = 0.397), estimated blood loss (250 vs. 400 ml, p = 0.214) and hospital stay (4 vs. 7 days, p = 0.298) were comparable between laparoscopy and open group. The overall post operative complication rate was similar in both groups (p = 0.375). The 5-year disease free survival rate (42.9% vs 60.0%, p = 0.700) and the 5-year overall survival rate (76.2% vs 64.8%, p = 0.145) was similar between laparoscopy and open group. Our findings demonstrate that with increasing surgical expertise and technological advances, laparoscopic isolated caudate lobectomy can become a feasible and safe in selected patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Laparoscopic isolated caudate lobe resection

Parikh¹,

Han

Cho

et al. 2021

Sci Rep

Self Cite

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“…One of the reasons why the resection of segment 7 and 8 is so complex is because of the difficulty in securing the Glissonean pedicles. [8][9][10][11] Although the hybrid approaches and hand assisted were described initially to facilitate some surgical maneuvers, [12][13][14] the purely laparoscopic abdominal approach with the possibility of combined intercostal trocars with the growing experience 15 in this field and the development of surgical devices have demonstrated their feasibility and safety.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Liver Resection of Segments 7 and 8: from the Initial Restrictions to the Current Indications

López-López¹,

Ome

Kawamoto

et al. 2020

J Minim Invasive Surg

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Since the beginning of laparoscopic liver surgery, resection of the posterosuperior segments has been considered one of the most challenging procedure due to its difficult access. The main drawbacks of the laparoscopic approach to dome lesions are poor visualization, the difficulty of instrumentation and the greater complexity in the control of bleeding. In the evolution of minimally invasive techniques from hybrid techniques to the current purely laparoscopic approaches, the different authors have established gradually the currents indications and surgical techniques to operate these segments with a similar feasibility and safety than open approach. The standardization in the patient position, the use of intercostal trocars, the learning curve in laparoscopic liver surgery, the management of the hepatic blood flow and the refinement of the technique in the extrahepatic and intrahepatic Glissonean pedicle approaches, has allowed to leave behind the initial contraindications about the laparoscopic approach in these segments. In the present review of the literature, the accumulated experience of the different groups in minimally invasive liver surgery together with the technological advances in the different laparoscopic devices have facilitated the resection of tumors in segments 7 and 8 with similar and even better results than open surgery.

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Current Status of Laparoscopic Liver Resection: Experiences from Tertiary Center

Cited by 2 publications

References 33 publications

Laparoscopic isolated caudate lobe resection

Laparoscopic isolated caudate lobe resection

Laparoscopic Liver Resection of Segments 7 and 8: from the Initial Restrictions to the Current Indications

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