Laparoscopic hepatic resection

Borzellino, Giuseppe; Ruzzenente, Andrea; Minicozzi, Annamaria; Giovinazzo, Francesco; Pedrazzani, Corrado; Guglielmi, Alfredo

doi:10.1007/s00464-004-2186-3

Cited by 20 publications

(9 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although the percentage of liver resections performed by laparoscopy remained low in the current study, it has greatly increased since the beginning of our experience in 1999. Indeed, for the last 2 years, 80% of left lateral lobecto- (24) APVC, anatomic with prior vascular control [2,4,29], the rate of resected benign lesions still is high. This is not because of a change in the therapeutic policy for benign liver tumors, but because most benign lesions were resected by laparoscopy due to the fact that they generally arise in normal livers [8].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic liver resection: results for 70 patients

et al. 2007

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Laparoscopic liver resection: results for 70 patients

et al. 2007

View full text Add to dashboard Cite

show abstract

“…Recently a number of case series have been published detailing the feasibility and safety of the laparoscopic approach for liver resection [11,12,13]. LLLS has been considered the most suitable anatomical resection for the laparoscopic approach and as an entry procedure to laparoscopic liver surgery [4].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Left Lateral Liver Sectionectomy: A Safe, Efficient, Reproducible Technique

Hilal

Pearce²

2008

Dig Surg

View full text Add to dashboard Cite

Background: Laparoscopic left lateral sectionectomy (LLLS) is procedure with potential for future transformation into a primarily laparoscopic procedure where surgeons can safely develop laparoscopic experience and gain proficiency. Methods: Between August 2004 and December 2007, 80 patients underwent laparoscopic liver resections in our unit, 30 of these were left lateral sectionectomies. The indications for surgery were both oncological and non-oncological. Results: 30 LLLS were performed. Median operative time and median postoperative hospital stay group were 180 (40–340) min and 4 (1–6) days, respectively, and were noted to fall significantly between the first (15 patients) and second parts of this series. The median free resection margin was 11 (1.5–30) mm and median perioperative blood loss was 80 (25–800) ml. Two minor complications were observed with no mortality and no conversions to open. Conclusion: LLLS is a feasible, safe and efficient procedure, associated with a quick, smooth learning curve. We report our technique illustrating methods and particulars which would be of great help to surgeons developing new laparoscopic liver services.

show abstract

“…In previous studies, the rate of benign lesions for LLR was high [1, 2] because the lesions were in the normal liver, not in chronic damaged liver [4]. Based on our cases, the resection rate of malignant lesions was 76.5%, including 15 cases of HCC with liver cirrhosis.…”

Section: Discussionmentioning

confidence: 56%

“…A number of authors have recently been reported the results of their cumulative experience using laparoscopic liver resection [1][2][3][4][5][6][7][8]. In this paper, we report our experience with this technique from the point of view of safety and effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Results of laparoscopic liver resection: retrospective study of 68 patients

Inagaki¹,

Kurokawa

Yokoyama³

et al. 2008

J Hepatobiliary Pancreat Surg

View full text Add to dashboard Cite

Background Although an increasing number of reports and publications have dealt with the laparoscopic approach to liver resection, this procedure remains uncommon, and its feasibility, safety and effectiveness are still not established. There are few reports of the advantages of this approach on postoperative recovery. Methods From December 1997 to March 2007, laparoscopic hepatic resection were performed in 68 patients. Results There were 52 malignant tumors (36 hepatocellular carcinomas, three intrahepatic cholangiocarcinomas, one cystadenocarcinoma, liver metastases from ten colorectal carcinomas and two other organs) and 16 benign lesions among our 68 patients. Fifteen patients with hepatocellular carcinoma had cirrhosis. The mean tumor size was 3.1 ± 1.8 cm (range 1.0-14.0 cm), and the tumors were located in every liver segment except segment I. Liver resection was anatomical in 17 patients and consisted of a lobectomy in four patients and a lateral segmentectomy in 13 patients. Non-anatomical resections were performed in 51 patients. The operative time was 214 ± 93 min. Mean blood loss was 393 ± 564 g. A hand-assisted laparoscopic method or mini-laparotomy method was required in 35 patients (51.4%). Operative complications occurred mainly in our early cases and included three patients (4.4%) with operative bleeding, 2 of whom (2.9%) requiring a conversion to open surgery. Postoperative complications occurred in seven patients (10.0%), and two of then eventually required a re-operation. The mean hospital stay was 17 days. There were no complications in the more recent cases. Conclusions The laparoscopic approach for liver tumors is feasible, if the indication is carefully selected. The safety of this procedure depends on the surgical experience of the surgeon and team and the availability of the necessary technology.

show abstract

Laparoscopic hepatic resection

Cited by 20 publications

References 19 publications

Laparoscopic liver resection: results for 70 patients

Laparoscopic liver resection: results for 70 patients

Laparoscopic Left Lateral Liver Sectionectomy: A Safe, Efficient, Reproducible Technique

Results of laparoscopic liver resection: retrospective study of 68 patients

Contact Info

Product

Resources

About