La resección laparoscópica de los segmentos del lóbulo hepático izquierdo debe ser el abordaje inicial en centros con experiencia

Robles, R; Hernández, Caridad Marín; Conesa, Asunción López; Abellán, Beatriz; Pérez, Patricia Pastor; Paricio, Pascual Parrilla

doi:10.1016/j.ciresp.2008.11.002

Cited by 15 publications

(3 citation statements)

References 24 publications

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“…Based on a literature review of conventional LLS,[ 4 10 11 12 13 14 15 16 17 18 19 20 ] the median operative time was 120–320 min, median blood loss was 0–236 mL and the incidence of morbidity was 0–16.(7%). When compared with these results, the present 3-port technique seems not inferior to the conventional LLS with regard to short-term surgical outcomes.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic left lateral sectionectomy: A three-port method

2020

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Section: Discussionmentioning

confidence: 99%

Laparoscopic left lateral sectionectomy: A three-port method

2020

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“…These findings suggest that the outcomes we observed were less likely to be related to the confounding effect associated with historical case–control studies. The studies 10 11– 12 , 15 , 18 , 20 , 21 , 25 , 26 that have compared LLR versus OLR for tumors in the LLS are summarized in Table 5 . The present study is one of the largest series to date to compare laparoscopic versus open resection for tumors in the LLS.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Liver Resection for Tumors in the Left Lateral Liver Section

Goh

Chan

Lee

et al. 2016

JSLS

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Background:The laparoscopic approach is increasingly adopted for liver resections today especially for lesions located in the left lateral liver section. This study was conducted to determine the impact of the introduction of laparoscopic liver resection (LLR) as a surgical option for suspected small- to medium-sized (<8 cm) tumors located in the left lateral section (LLS).Methods:This is a retrospective review of 156 consecutive patients who underwent LLR or open liver resection (OLR) of tumors located in the LLS. The study was divided into 2 consecutive periods (period 1, January 2003 through September 2006, and period 2, October 2006 through April 2014); LLR was available as a surgical option only in the latter period. Comparisons made were LLR versus OLR, LLR versus OLR (in period 2 only), and resections performed in period 1 versus period 2.Results:Forty-two patients underwent LLR with 4 conversions. LLR was significantly associated with a longer median operative time [167.5 minutes (range, 60–525) vs 105 minutes (range, 40–235); P < .001], decreased need for the Pringle maneuver [n = 1 (2%) vs 22 (19%); P = .008], and shorter postoperative stay [n = 4 (range, 1–10) days vs 5 days (range, 2–47); P < .001] compared with open resection. Comparison of the 42 patients who underwent LLR with the 64 contemporaneous patients who underwent OLR demonstrated similar outcomes. Again, LLR was associated with a significantly longer operation, decreased need for the Pringle maneuver, and shorter hospital stay.Conclusions:LLR can be safely adopted to treat lesions in the LLS. The procedure is associated with a shorter postoperative stay and a decreased need for the Pringle maneuver, but longer operative time compared with that required for OLR.

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“…Laparoscopic techniques for left hepatectomy have been widely described for humans [1,3,5,12,17,24,29]. Additionally, the ability to perform an anatomically reproducible hepatic resection in a large animal model could promote the investigation of liver surgery [5,18,23,26], transplantation [19,22], and regeneration [2,6,13,15,16,20,26,27] for medical research and experimental studies.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic left hepatectomy in swine: a safe and feasible technique

et al. 2014

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A purely laparoscopic four-port approach was created for left hepatectomy in pigs. A polyethylene loop was placed on the left two hepatic lobes for traction and lift. Next, penetrating ligation of the lobes using of a double row of silk sutures was performed to control bleeding. A direct hepatic transection was completed using a monopolar hook electrode without meticulous dissection of the left hepatic vein. The raw surface of the liver was coagulated and sealed with fibrin glue. Lobes were retrieved through an enlarged portal. Laparoscopic hepatic lobectomy was completed in all pigs without the use of specialized instruments and with a mean operative time of 179 ± 9 min. No significant perioperative complications were observed. The average weight of each resected lobe was 180 ± 51 g. Complete blood count as well as serum organics and enzyme levels normalized after about 2 weeks. During necropsy, adhesion of the hepatic raw surface to the gastric wall and omentum were observed. No other abnormalities were identified. This minimally invasive left hepatectomy technique in swine could serve as a useful model for investigating liver diseases and regeneration, and offer preclinical information to improve hepatobiliary surgical procedures.

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La resección laparoscópica de los segmentos del lóbulo hepático izquierdo debe ser el abordaje inicial en centros con experiencia

Cited by 15 publications

References 24 publications

Laparoscopic left lateral sectionectomy: A three-port method

Laparoscopic left lateral sectionectomy: A three-port method

Laparoscopic Liver Resection for Tumors in the Left Lateral Liver Section

Laparoscopic left hepatectomy in swine: a safe and feasible technique

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