Laparoscopic Liver Resection: Lessons at the End of the Second Decade

Afaneh, Cheguevara; Kluger, Michael D.

doi:10.1055/s-0033-1351780

Cited by 15 publications

(8 citation statements)

References 69 publications

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“…On the contrary, advances in laparoscopic techniques and instruments have rendered laparoscopic procedure more safe and feasible in surgical opertation. 8 , 9 Over last decades there has been an increasing trend toward a minimally invasive approach of liver resection with less blood loss, shorter hospital stay, and without compromised complication rate or oncological outcomes comparing with open surgery in younger patients populations. 10 – 12 …”

Section: Introductionmentioning

confidence: 99%

Pure Laparoscopic Versus Open Liver Resection for Primary Liver Carcinoma in Elderly Patients

Wang

Duan

et al. 2015

Medicine

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Pure laparoscopic liver resection (PLLR) has been reported to be as safe and effective as open liver resection (OLR) for liver lesions, and it is associated with less intraoperative blood loss, shorter hospital stay, and lower complication rate. However, studies comparing PLLR with OLR in elderly patients were limited. The aim of this study was to analyze the short-term outcome of PLLR versus OLR for primary liver carcinoma (PLC) in elderly patients.Between January 2008 and October 2014, 30 consecutive elderly patients (≥70 years) who underwent PLLR for PLC were included into analysis. Sixty patients who received OLR for PLC during the same study period were also included as a case-matched control group. Patients were well matched in terms of age, sex, comorbid illness, Child Pugh class, American Society of Anesthesiologists grade, tumor size, tumor location, and extent of hepatectomy.No significant differences were observed with regard to patient preoperative baseline status, median tumor size (Group PLLR 4.0 cm vs Group OLR 5.0 cm, P = 0.125), tumor location, extent of hepatectomy, and operation time (Group PLLR 133 minutes vs Group OLR 170 minutes, P = 0.073). Compared with OLR, the PLLR group displayed a significantly less frequent Pringle maneuver application (10.0% vs 70.0%, P < 0.001), less blood loss (100 vs 300 mL; P < 0.001), shorter hospital stay (5 vs 10 days; P < 0.001), and lower total hospitalization cost ($9147.50 vs $10,867.10, P = 0.008). The postoperative complication rates were similar between groups (Group PLLR 10.0% vs Group OLR 16.7%; P = 0.532). There was no hospital mortality in both groups.PLLR for PLC is as safe and feasible as OLR, but with less blood loss, shorter hospital stay, and lower hospitalization cost for selected elderly patients.

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Section: Introductionmentioning

confidence: 99%

Pure Laparoscopic Versus Open Liver Resection for Primary Liver Carcinoma in Elderly Patients

Wang

Duan

et al. 2015

Medicine

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“…The venous vein of the CL is usually conformed into the IVC in the form of the SHV, which is featured by thin vascular wall, short trunk, and a deep location [ 34 ]. There are usually two to four SHV injected into the left and right side of the IVC.…”

Section: Discussionmentioning

confidence: 99%

Surgical Technique and Clinical Analysis of Twelve Cases of Isolated Laparoscopic Resection of the Hepatic Caudate Lobe

Jin

Jiang

et al. 2018

BioMed Research International

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Objective To describe the surgical procedures of laparoscopic caudate lobectomy and analyze its clinical efficiency for treating cancer. Methods Twelve consecutive patients of hepatocellular carcinoma, hepatic hemangioma, and focal nodular hyperplasia who received laparoscopic caudate lobectomy in Qilu Hospital of Shandong University from January 2013 to January 2017 were included in this study. The clinical data, intraoperative parameters, and postoperative outcomes were assessed. Results All 12 patients received totally laparoscopic technique. The operative time was 140.8 ± 95.34 minutes. The average estimated blood loss was 97.92 ± 90.54 ml, and no blood transfusions were required. The mean duration of hospital stay was 9.17 ± 2.88 days. There was no perioperative complication or patient mortality in this series. Conclusions Laparoscopic caudate lobectomy is safe and feasible in the selected patients.

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“…Furthermore, the long-term outcome of laparoscopic resection is comparable with open resection both in terms of overall survival and disease free survival 29 . Hand assisted laparoscopic liver resection may reduce the need for conversion to full open surgery and help to control haemorrhage 28 30 .…”

Section: Hepatocellular Carcinoma/colorectal Liver Metastasis (Hcc/crmentioning

confidence: 99%

Role of laparoscopy in hepatobiliary malignancies

Arumugam¹,

Balarajah²,

Watt³

et al. 2016

Indian J Med Res

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The many benefits of laparoscopy, including smaller incision, reduced length of hospital stay and more rapid return to normal function, have seen its popularity grow in recent years. With concurrent improvements in non-surgical cancer management the importance of accurate staging is becoming increasingly important. There are two main applications of laparoscopic surgery in managing hepato-pancreatico-biliary (HPB) malignancy: accurate staging of disease and resection. We aim to summarize the use of laparoscopy in these contexts. The role of staging laparoscopy has become routine in certain cancers, in particular T2 staged, locally advanced gastric cancer, hilar cholangiocarcinoma and non-Hodgkin's lymphoma. For other cancers, in particular colorectal, laparoscopy has now become the gold standard management for resection such that there is no role for stand-alone staging laparoscopy. In HPB cancers, although staging laparoscopy may play a role, with ever improving radiology, its role remains controversial.

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Laparoscopic Liver Resection: Lessons at the End of the Second Decade

Cited by 15 publications

References 69 publications

Pure Laparoscopic Versus Open Liver Resection for Primary Liver Carcinoma in Elderly Patients

Pure Laparoscopic Versus Open Liver Resection for Primary Liver Carcinoma in Elderly Patients

Surgical Technique and Clinical Analysis of Twelve Cases of Isolated Laparoscopic Resection of the Hepatic Caudate Lobe

Role of laparoscopy in hepatobiliary malignancies

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