Laparoendoscopic single-site liver resection: a preliminary report of 12 cases

Zhao, Guodong; Hu, Minggen; Liu, Rong; Xu, Da; Ouyang, Caiguo; Xu, Yiming; Jiao, Huabo; Wang, Baofu; Gu, Xin

doi:10.1007/s00464-011-1706-1

Cited by 21 publications

(29 citation statements)

References 35 publications

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“…Easily accessible, superficial lesions in segments II, III, IV, V, and VIII [20, 28] are preferable, even though bigger or more technically challenging resections for less favourably located tumours have been described with increased experience in the technique (Table 1). With regard to the size of the lesions, most groups adopted a cut-off of <2.5–5 cm in diameter for malignant and <10 cm for benign tumours [12, 14, 20–22, 27, 28, 31]. Resection of larger malignant lesions has also been described [15, 20, 22]; however the potential extension of the incision for extraction of large specimen defeats the purpose of SILS [27].…”

Section: Resultsmentioning

confidence: 99%

“…Resection of larger malignant lesions has also been described [15, 20, 22]; however the potential extension of the incision for extraction of large specimen defeats the purpose of SILS [27]. Other contraindications include vascular or extrahepatic involvement and morbid obesity [20, 27, 28]. Even though a history of upper abdominal surgery is a relative contraindication for some groups [28], SILS liver resections in patients with previous hepatectomies [22], as well as a synchronous liver and colonic resection [22], have been described.…”

Section: Resultsmentioning

confidence: 99%

“…Other contraindications include vascular or extrahepatic involvement and morbid obesity [20, 27, 28]. Even though a history of upper abdominal surgery is a relative contraindication for some groups [28], SILS liver resections in patients with previous hepatectomies [22], as well as a synchronous liver and colonic resection [22], have been described.…”

Section: Resultsmentioning

confidence: 99%

“…Briefly, the patient is positioned supine in reverse Trendelenburg, with the legs apart to facilitate the position of the primary surgeon [15, 21, 22, 26–28]. Patient positioning in left lateral or semilateral positions has also been described [15].…”

Section: Resultsmentioning

confidence: 99%

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The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery

Chatzizacharias

Dajani

Koong

et al. 2016

Minimally Invasive Surgery

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Introduction. Single incision laparoscopic surgery (SILS) has gained increasing support over the last few years. The aim of this narrative review is to analyse the published evidence on the use and potential benefits of SILS in hepatic and pancreatic resectional surgery for benign and malignant pathology. Methods. Pubmed and Embase databases were searched using the search terms “single incision laparoscopic”, “single port laparoscopic”, “liver surgery”, and “pancreas surgery”. Results. Twenty relevant manuscripts for liver and 9 for pancreatic SILS resections were identified. With regard to liver surgery, despite the lack of comparative studies with other minimal invasive techniques, outcomes have been acceptable when certain limitations are taken into account. For pancreatic resections, when compared to the conventional laparoscopic approach, SILS produced comparable results with regard to intra- and postoperative parameters, including length of hospitalisation and complications. Similarly, the results were comparable to robotic pancreatectomies, with the exception of the longer operative time reported with the robotic approach. Discussion. Despite the limitations, the published evidence supports that SILS is safe and feasible for liver and pancreatic resections when performed by experienced teams in the tertiary setting. However, no substantial benefit has been identified yet, especially compared to other minimal invasive techniques.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery

Chatzizacharias

Dajani

Koong

et al. 2016

Minimally Invasive Surgery

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“…Sus aplicaciones actuales se han extendido a un sinnúmero de procedimientos más complejos como: colectomía [26][27][28][29][30][31] , nefrectomía [32][33][34] , cirugía antirrefl ujo 35,36 , esplenectomía 37,38 , histerectomía 39,40 , hepatectomías 41 , etc. La cirugía bariátrica no ha sido ajena a estos avances, publicándose múltiples exitosas experiencias en banda gástrica ajustable (BGA) [42][43][44] y GM 12,15,16,18 .…”

Section: Discussionunclassified

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

et al. 2012

Rev Chil Cir

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Simplifi ed transumbilical sleeve gastrectomy. Technique and surgical results in 100 patientsBackground: The use of transumbilical approach for sleeve gastrectomy has been recently reported, using different technique variations. Aim: To report the technique and surgical results of a transumbilical approach simplifi ed sleeve gastrectomy, using rigid instruments. Material and Methods: Ninety four women and six men, selected by a multidisciplinary team, underwent transumbilical sleeve gastrectomy. The operative technique involved a transumbilical incision, introduction of a SILS ® or GelPoint ® multiport, and a 5mm metallic accessory trocar laterally in the left fl ank. Rigid instruments were used in all patients. The greater curvature was dissected from 4-5 cm above the pylorus to the angle of His. Gastric transection was completed with a stapler, and calibrated with a 36 French tube advanced through the pylorus. Hemostasis of the staple line was carried out with metallic clips. A barium swallow was performed in ten randomly chosen patients, confi rming the correct tubular shape of the stomach. Results: Body mass index of operated patients ranged from 30 to 43 kg/m 2 . Mean operative time was 56.4 ± 16.7 minutes. During the early postoperative period, two patients had a hemoperitoneum, one had an antral leak and one had an intestinal perforation. No conversion to conventional laparoscopy or open technique was required. No patient died. The mean length of hospital stay was 2.3 ± 0.5 days. The cosmetic result was satisfactory for all patients. Conclusions: Transumbilical sleeve gastrectomy is a safe and feasible procedure with the reported technique. The insertion of an accessory 5mm trocar in the left fl ank simplifi es the procedure, allowing the use of rigid instruments.

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New technologies for single‐site robotic surgery in hepato‐biliary‐pancreatic surgery

Diana

Pessaux

Marescaux

2013

J Hepato Biliary Pancreat

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Laparoendoscopic single-site liver resection: a preliminary report of 12 cases

Cited by 21 publications

References 35 publications

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery

The Role of the Single Incision Laparoscopic Approach in Liver and Pancreatic Resectional Surgery

Gastrectomía en manga transumbilical con técnica simplificada: técnica y resultados quirúrgicos en 100 pacientes

New technologies for single‐site robotic surgery in hepato‐biliary‐pancreatic surgery

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