Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients

Abstract

Laparoscopic hepatectomy for hepatolithiasis is feasible and safe in selected patients.

Laparoscopic left hemihepatectomy: a safety and feasibility study of 19 cases

“…Except for significant lower intraoperative blood loss, the postoperative albumin level was significantly higher in the LH group compared with the OH group (33 ± 4.8 vs. 27.6 ± 3.2, p \ 0.05), and the same result had been found in previous studies of laparoscopic hepatectomy [25]. Preservation of the abdominal wall, less protein losses, and less transfusion could partly account for this result.…”

Laparoscopic left hemihepatectomy for left intrahepatic duct stones

“…Since, by comparison, the stone clearance rate after laparoscopic surgery has been reported to be higher than 80%, there is no significant difference between the two groups [10-12]. In our study, the initial stone clearance rate was 92.3% and the final stone clearance rate was 100%.…”

A Series of Laparoscopic Liver Resections with or without HALS in Patients with Hepatic Tumors

“…However, we introduced the HALS technique to successfully perform hepatectomy in the right posterior liver without increasing the risk of bleeding, gas embolism, and conversion rate. Although some authors have criticized the disadvantages of a decreased operation field when using the hand-assisted laparoscopic technique, 14 other reports 18,19,28,29 and our previous report 16 have demonstrated the advantages of this technique, including good tactile sensation, facilitation of liver mobilization and exposure, parenchymal bleeding control, and precise endovascular stapler loading during parenchymal transection. It also improved the diagnostic and staging accuracy for malignancy, especially in the case of cirrhotic patients.…”

“…18 In a patient who had hepatocellular carcinoma with cirrhosis, HALS was used for a left-lateral segmentectomy and had safety advantages over a full laparoscopic method, with no major complications resulting. 19 When used for patients with colorectal disease, HALS was shown to be safe and effective when compared to standard laparoscopic surgery, with the benefit of a minimally invasive procedure that allows for the relatively easy performance of a complex operation. 20 When used for colectomy, HALS reduced the operative time and generated the acceptable morbidity rates and recovery benefits associated with minimally invasive surgery and thus may be preferable to extensive colorectal procedures such as total proctocolectomy and total abdominal colectomy.…”