Laparoscopic hepatectomy: indications and results from 18 resectable cases

Pais-Costa, Sérgio Renato; Araujo, Sergio Luiz Melo; Lima, Olímpia Alves Teixeira; Teixeira, Alexandre Chartuni Pereira

doi:10.1590/s1679-45082011ao1983

Cited by 7 publications

(14 citation statements)

References 25 publications

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“…Laparoscopic hepatectomy has been a good option to the benign tumors such HA. 7,12 The present author has reported this approach with great safety even in posterior lesions at right lobe. 13 The present author has also used whenever possible sparing liver parenchyma resections mainly for benign tumors like HA.…”

Section: Discussionmentioning

confidence: 75%

“…13 The present author has also used whenever possible sparing liver parenchyma resections mainly for benign tumors like HA. 12,13 AH behaviour has also depended of its molecular signature mainly based of mutation type. Therefore, for steatotic AH with HNF1-α mutation, conservative approach has been the main conduct because as rupture as malignant transformation has been very rare condition.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8][9][10] Actually, laparoscopic approach has become golden standard because carries low morbidity, fast recovery, and cosmetic advantages. 2,6,7,12,13 The present author described a case of HA in a young woman without previous history of use either OC's or AAS. Suddenly, this patient began to present systemic arterial hypertension (SAH).…”

Section: Introductionmentioning

confidence: 85%

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Cure of Systemic Arterial Hypertension after Hepatic Adenoma Laparoscopic Resection: Case Report

Costa¹

2017

JLRDT

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Background: Hepatic adenoma (HA) is relatively rare hepatic neoplasm. HA has been associated with use of oral contraceptives, hepatic deposit diseases or even abusive use of anabolic steroids. Generally, symptomatic uncomplicated HA presents abdominal pain, compression of loco regional structures or epigastric discomfort Gold-standard treatment has been surgical resection mainly by means laparoscopic approach.Case report: Author reports one case of HA (4cm) in young female into segment V of the liver associated a high level of both renin and aldosterone besides systemic arterial hypertension. She was investigated for secondary arterial hypertension where was observed no positive findings. This patient wished to become pregnant, then she was submitted an AH enucleation by means laparoscopic approach. Subsequently, after AH resection, seric levels of both substances decreased for normal levels and systemic arterial hypertension was cured. Actually, two years after surgical resection, this patient presents normal level of both renin and aldosterone. Her arterial pression is under control without use of anti-hypertensive drugs. Keywords

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Section: Discussionmentioning

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 85%

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Cure of Systemic Arterial Hypertension after Hepatic Adenoma Laparoscopic Resection: Case Report

Costa¹

2017

JLRDT

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“…Given that LH is a complex laparoscopic procedure, laparoscopic left lateral sectionectomy has been considered by many experts the ideal anatomical resection for initial training because of its anatomical accessibility and the possibility of using the aid of staplers [18][19][20][21][22] . Therefore, laparoscopic left lateral sectionectomy has been one of the most performed types of LH along the learning curve of many authors [8,10,12] . Even though laparoscopic left lateral sectionectomy and right posterior sectionectomy were the most frequent LHs performed in the present series, more complex LHs including left hepatectomy, right hepatectomy and even mesohepatectomy were also performed, reflecting the strong trend in the literature towards performing more complex procedures for treating hepatic lesions [2][3][4][5][6][7][8][9][10][11][12][13]15,23] .…”

Section: Discussionmentioning

confidence: 99%

“…Even though LH has been shown to be both safe and effective; the restricted indications for resection in the case of benign liver lesions have resulted in poorly reported longterm outcomes. In addition, there is a need to know whether LH might improve the overall postoperative quality of life (QoL) of patients with benign lesions [8][9][10][11][12][13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic hepatectomy for benign hepatic lesions: short and long-term outcomes including quality-of-life evaluation

Pais-Costa¹,

Lima²,

Costa³

et al. 2018

MIS

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Aim: Even though laparoscopic hepatectomy (LH) has proved to be both safe and effective in specialized centers; the restricted indications for resection in the case of benign liver lesions has resulted in poorly reported outcomes. Our aim was to describe the short and long-term results of LH to treat benign hepatic lesions, including quality of life (QoL) evaluation. Methods: Thirty-one LHs were performed between 2007 and 2018 in 30 patients. We evaluated QoL with the SF-36 test and a body image satisfaction questionnaire by personal interview before surgical treatment and at 1 month, 3 months, 6 months and 1 year after surgery. Results: Median age was 38 years (range 21-71) and the majority were females (68%). The most frequent etiology was hepatic adenoma in 16 patients (52%), followed by focal nodular hyperplasia (n = 4), cavernous hemangioma (n = 3), hepatic abscess (n = 3), cystadenoma (n = 5) and hepatolithiasis (n = 1). The majority of resections were minor (66%) and the conversion rate was 6.2%. Pathological examination confirmed negative margins in all patients. Postoperative mortality was nil, while morbidity was 6.2%. Median hospital stay was 4 days (range 1-32 days). In a median follow-up of 48 months (range 2-120), 2 patients experienced recurrence. QoL variables were similar between the preoperative and postoperative periods. Conclusion: LH should be considered the main therapeutic approach for treating selected patients with benign liver lesions who require surgical resection because it presented both null mortality and low morbidity, along with rare recurrence, a good quality of life and high esthetic satisfaction.

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Open, Laparoscopic, and Robotic-Assisted Hepatectomy in Resection of Liver Tumors: A Non-Systematic Review

Rodrigues

Silveira

Tavares

et al. 2017

ABCD, arq. bras. cir. dig.

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Introduction: Several factors have made hepatectomy an increasingly safe surgery and new drugs allowed surgical treatment for patients who initially were not candidates for resection. Lesions often require resection, which can be performed by open, laparoscopic, or robotic assisted hepatectomy. Aim: Compare the surgical techniques in open, laparoscopic, and robotic assisted hepatectomy for resection of liver tumors. Methods: Literature review based on scientific papers published on Lilacs/Pubmed/Scielo in the last 17 years regarding the indications of these techniques for liver tumor resections and on papers comparing such techniques. Results:The comparative study shows the benefits of laparoscopic surgery over open surgery, such as smaller incisions, less postoperative pain, shorter recovery time, smaller immune and metabolic response, and quicker restoration of oral ingestion as well as lower morbidity rates. However, the need for a specialized surgical team and the reduction in handling area still remain as disadvantages in the laparoscopic technique. It is yet not clear whether robotic assistance presents considerable benefits over the laparoscopic technique considering that high acquisition and maintenance costs are limiting factors.Conclusion: Despite all challenges, laparoscopic hepatectomy presents many benefits over open surgery. The robotic assisted technique is still in evolution as many centers in the world perform hepatic resections with the platforms but only after a thorough patient selection. Thus, laparoscopy stands as the best option, unless there is some contraindication to the procedure.

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Laparoscopic hepatectomy: indications and results from 18 resectable cases

Abstract: Laparoscopic hepatectomy is a safe surgical approach for treating both benign and malignant hepatic lesions. This small series showed no mortality, low morbidity and good cosmetic results.

Cited by 7 publications

References 25 publications

Cure of Systemic Arterial Hypertension after Hepatic Adenoma Laparoscopic Resection: Case Report

Cure of Systemic Arterial Hypertension after Hepatic Adenoma Laparoscopic Resection: Case Report

Laparoscopic hepatectomy for benign hepatic lesions: short and long-term outcomes including quality-of-life evaluation

Open, Laparoscopic, and Robotic-Assisted Hepatectomy in Resection of Liver Tumors: A Non-Systematic Review

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