Laparoscopic liver resection: results for 70 patients

Abstract

The study results confirm that laparoscopic liver resection, including major hepatectomies, can be safely performed by laparoscopy.

Laparoscopic Liver Surgery: New Frontiers

“…However, with surgical experience the conversion rate reduces and currently does not exceed 5% in expert centres (5, 15, 50, 54, 58, 60-61, 73, 94). The main reason to conversion was bleeding and fatal haemorrhage has been reported to be the most serious intraoperative incident (47,50,56,(89)(90)(94)(95). Other less crucial reported causes of conversion represent technical intricacies due to poor exposure, severe adhesions, anatomic limitations, close proximity to major vascular structures, doubts in regard to tumour extent or resection margin status, and lack of operative progress (3,10).…”

Transarterial Chemoembolization Prior to Early Hepatocellular Carcinoma Laparoscopic Resection in Patients with Child A Cirrhosis

“…For most authors, HCC involves several surgical difficulties for laparoscopic approach (14)(15)(16)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27), especially in the cirrhotic liver (14,18,19, 24.25) due to the increased hardness of the liver, portal hypertension and alterations in blood clotting. These difficulties make conversion to laparotomy, mainly because of hemorrhages.…”

A Simple Technique for Large Tumor Removal During Laparoscopic Liver Resection

“…[2][3][4][5][6][7] Briefly, the patient is placed in a left semilateral decubitus position for right liver resection and supine position for left liver resections. The surgeon stands between the patient's legs.…”

“…We believe that the described technique is feasible, can be easily and rapidly performed, and facilitates laparoscopic liver resection by reducing the technical difficulties for specimen removal and may also be used in other abdominal laparoscopic interventions that deal with large surgical specimens. [2][3][4][5] Specimen extraction is an important step of laparoscopic liver resection. Some authors used suprapubic incision, whereas others use midline or subcostal incisions.…”

“…Some authors used suprapubic incision, whereas others use midline or subcostal incisions. [2][3][4][5][6] The size of the liver specimen is usually a limitation for the use of laparoscopy. The aim of this paper is to describe a new technique combining Pfannenstiel suprapubic incision and obstetric forceps to remove a large specimen from laparoscopic liver resections.…”