Gasless Laparoscopic Resection of Hepatocellular Carcinoma (HCC) in Cirrhosis

Intra, Mattia; Viani, Marco Piercarlo; Ballarini, C; Ceretti, Andrea Pisani; Ongari, Bruno; Croce, Anna Maria; Murtas, G. De; Marraro, Giuseppe A.; Spina, G. P.

doi:10.1089/lps.1996.6.263

Cited by 16 publications

(8 citation statements)

References 21 publications

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“…Finally, the laparoscopic approach carries an increased potential risk of gas embolism compared to the open approach [41,[74][75][76]. Despite the absence of such a potentially life-threatening complication in the current series, the use of gasless laparoscopy and cautious use of the Argon Beam Coagulator to achieve hemostasis of the transection line are recommended [41,72,74,[76][77][78].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic liver resection of benign liver tumors

et al. 2003

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Laparoscopic resection of benign liver tumors is feasible and safe for selected patients with small tumors located in the left lateral segments or in the anterior segments of the right liver. Despite the use of a laparoscopic approach, selective indications for resection of benign liver tumors should remain unchanged. When performed by expert liver and laparoscopic surgeons in selected patients and tumors, laparoscopic resection of benign liver tumor is a promising technique.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic liver resection of benign liver tumors

et al. 2003

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“…CO 2 pneumoperitoneum or gasless laparoscopy may be applied [26] . The rationale for using the gasless technique is to prevent potential gas embolism during pneumoperitoneum.…”

Section: Techniques Of Laparoscopic Liver Resectionmentioning

confidence: 99%

Role and Limitations of Laparoscopic Liver Resection of Colorectal Metastases

Mala¹,

Edwin

2005

Dig Dis

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Background: The current experience of laparoscopic liver resection is reviewed focusing on the role and limitations of resection of colorectal metastases. Surgical technique, outcome, and the main controversies regarding the procedures are described. Methods: Current literature on laparoscopic liver resection is reviewed based on reports identified following a specified PubMed search. Results: Available evidence indicates that laparoscopic liver resection can be made safely in selected patients with comparable duration of surgery, blood loss, tumour clearance, and mortality to that of open resection. Tumours localised peripherally in the left lateral segments of the liver or in segments IV–VI seem to be best suited for laparoscopic resection. The laparoscopic approach may be beneficial to the patients as compared to conventional resection but randomised trials are pending. Laparoscopic resection of colorectal liver metastases is described in a small number of patients only. The long-term outcome following such resections is not adequately documented. Conclusions: Laparoscopic liver resection is a promising technique with a comparable short-term outcome to that of open procedures but with the potential advantages of minimal invasive treatment. The technique should be further evaluated in properly designed trials. Laparoscopic resection of colorectal liver metastases should not be performed on a regular basis until long-term results are defined.

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“…This has led some centres to adopt a gasless laparoscopy technique, whereby intra-abdominal space is created by abdominal suspension techniques [20]. Others have used a lower pressure carbon dioxide pneumoperitoneum, maintained between 10–12 mmHg [4, 12].…”

Section: Discussionmentioning

confidence: 99%

Lessons from Laparoscopic Liver Surgery: A Nine-Year Case Series

et al. 2008

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Objective. This series describes a developing experience in laparoscopic liver surgery presenting results from 40 procedures including right hemihepatectomy, left lateral lobectomy, and microwave ablation therapy. Methods. Forty patients undergoing laparoscopic liver surgery between September 1997 and November 2006 were included. The data set includes: operative procedure and duration, intraoperative blood loss, conversion to open operation rates, length of hospital stay, complications, mortality, histology of lesions/resection margins, and disease recurrence. Results. Mean age of patient: 59 years, 17/40 male, 23/40 female, 23/40 of lesions were benign, and 17/40 malignant. Operations included: laparoscopic anatomical resections n = 15, nonanatomical resections n = 11, microwave ablations n = 8 and deroofing of cysts n = 7. Median anaesthetic time: 120 minutes (range 40–240), mean blood loss 78 mL and 1/40 conversions to open. Median resection margins were 10 mm (range 1–14) and median length of stay 3 days (range 1–10). Operative and 30-day mortality were zero with no local disease recurrence. Conclusion. Laparoscopic liver surgery appears safe and effective and is associated with reduced hospital stay. Larger studies are required to confirm it is oncologically sound.

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Gasless Laparoscopic Resection of Hepatocellular Carcinoma (HCC) in Cirrhosis

Cited by 16 publications

References 21 publications

Laparoscopic liver resection of benign liver tumors

Laparoscopic liver resection of benign liver tumors

Role and Limitations of Laparoscopic Liver Resection of Colorectal Metastases

Lessons from Laparoscopic Liver Surgery: A Nine-Year Case Series

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