Laparoscopic Liver Resection

Vigan, Luca; Cherqui, Daniel

doi:10.1002/9781444317053.ch18

Cited by 2 publications

(1 citation statement)

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“…Recent technological developments have facilitated the increase in indications for the procedure (2,3). At present, the common advantages of laparoscopic surgery, such as early recovery and discharge with less postoperative pain and earlier food intake, have been reported for the procedure (4). However, specific advantages and/or disadvantages of pure laparoscopic hepatectomy have yet to be sufficiently discussed.…”

Section: Introductionmentioning

confidence: 99%

Pure laparoscopic hepatectomy for hepatocellular carcinoma patients with severe liver cirrhosis

Morise

Sugioka

Kawabe

et al. 2011

Asian Journal of Endoscopic Surgery

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Hepatocellular carcinoma often arises in cirrhotic livers. Patients with severe liver cirrhosis who undergo hepatectomy often develop postoperative liver failure, even if the hepatectomy is limited. Here, we report six patients with severe liver cirrhosis (Child-Pugh B/C and indocyanine green retention rate at 15 min ≥ 40%) who underwent pure laparoscopic hepatectomy. Their perioperative course was favorable and comparable to that of other hepatocellular carcinoma patients with mild-moderate liver cirrhosis. In patients with severe liver cirrhosis, pure laparoscopic hepatectomy minimizes the disturbance in collateral blood and lymphatic flow caused by laparotomy and liver mobilization, as well as the mesenchymal injury caused by compression of the liver. It limits complications such as massive ascites, which can lead to severe postoperative liver failure. Good candidates for the procedure include patients with severe liver cirrhosis who have tumors on the liver surface and in whom adaptation to ablation therapy is difficult and/or who experience local recurrence after repeat treatments.

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Section: Introductionmentioning

confidence: 99%