Laparoscopic liver resection with selective prior vascular control

Tranchart, Hadrien; Giuro, Giuseppe Di; Laïnas, Panagiotis; Pourcher, Guillaume; Devaquet, Niaz; Perlemuter, Gabriel; Franco, Dominique; Dagher, Ibrahim

doi:10.1016/j.amjsurg.2012.04.015

Cited by 33 publications

(22 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in selected patients who undergo surgery by experienced hands, one of the most important advantage of the laparoscopic approach is the potential improvement in terms of blood loss and transfusion rates [4][5][6][7][8][9][10][11]. This specific improvement of the laparoscopic approach in comparison to open surgery was particularly underlined by the experts at the Morioka consensus.…”

Section: Discussionmentioning

confidence: 99%

“…In a case-match analysis Tranchart et al [6] suggested that the positive pressure of pneumoperitoneum was probably the main factor explaining the decreased blood loss during laparoscopy when compared to open liver surgery (Grade C).…”

Section: Pneumoperitoneummentioning

confidence: 99%

“…Furthermore, the excellent view of the hepato-caval confluence during laparoscopy probably facilitates outflow control (Grade D). Tranchart et al [6] suggested that the selective control of the inflow during LLR may be more efficient in terms of blood loss compared to the same control performed during open surgery (possible effect of the pneumoperitoneum) (Grade C).…”

Section: Modified Hanging Maneuvermentioning

confidence: 99%

“…[66] 2011 Surg Endosc Precoagulation by mono or bipolar RF for liver transection Kobayashi et al [34] 2011 Surg Endosc Use of fibrin sealant at the cut liver surface Packiam et al [67] 2012 J Gastrointest Surg Robotic LLR Patriti et al [68] 2012 Updates Surg Comparing intermittent Pringle maneuver versus no clamping in robotic LLR Tan et al [31] 2012 J Laparoendosc Adv Surg Tech A Use of intermittent Pringle, hemihepatic clamping and selective clamping Tranchart et al [6] 2013 Am J Surg Prior vascular control Ji et al [69] 2004 Chir Gastroenterol Multifunctional device used during liver transection Retrospective series Toyama et al [23] 2006 J Hepatobiliary Pancreat Surg…”

Section: Transection Devicesmentioning

confidence: 99%

“…), bleeding control during laparoscopic liver resection (LLR) is a liverspecific improvement, which has been underlined by many experts [4][5][6][7][8][9][10][11]. Several studies aimed to elucidate the factors responsible for reduced blood loss during laparoscopic liver surgery.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Bleeding control during laparoscopic liver resection: a review of literature

Tranchart

O’Rourke

Dam

et al. 2015

J Hepatobiliary Pancreat Sci

Self Cite

View full text Add to dashboard Cite

Despite the established advantages of laparoscopy, bleeding control during laparoscopic liver resection (LLR) is a liver-specific improvement. The 2nd International Consensus Conference on Laparoscopic Liver Resection was held in October 2014 at Morioka, Japan. One of the most capital questions was: What is essential in bleeding control during LLR? In order to correctly address this question, we conducted a comprehensive review of the literature. Essential points based on personal experience of the expert panel are also discussed. A total of 54 publications were identified. Based on this analysis, the working group built these recommendations: (1) a pneumoperitoneum of 10-14 mmHg should be used as it allows a good control of the bleeding without significant modifications of hemodynamics; (2) a low central venous pressure (<5 mmHg) should be used; (3) laparoscopy facilitates inflow and outflow control; and (4) surgeons should be experienced with the use of all surgical devices for liver transection and should master laparoscopic suture before starting LLR. Precoagulation with radiofrequency can be useful, particularly in cases of atypical resection. These recommendations are mostly based on experts' opinions and on B or C quality of evidence grade studies. More prospective data are required to confirm these results.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Pneumoperitoneummentioning

confidence: 99%

Section: Modified Hanging Maneuvermentioning

confidence: 99%

Section: Transection Devicesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Bleeding control during laparoscopic liver resection: a review of literature

Tranchart

O’Rourke

Dam

et al. 2015

J Hepatobiliary Pancreat Sci

Self Cite

View full text Add to dashboard Cite

show abstract

International experience for laparoscopic major liver resection

Dagher

Gayet

Tzanis

et al. 2014

J Hepato Biliary Pancreat

Self Cite

146

103

View full text Add to dashboard Cite

Although minor laparoscopic liver resections (LLRs) appear as standardized procedures, major LLRs are still limited to few expert teams. The aim of this study was to report the combined data of 18 international centers performing major LLR. Variables evaluated were number and type of LLR, surgical indications, number of synchronous colorectal resections, details on technical points, conversion rates, operative time, blood loss and surgical margins. From 1996 to 2014, a total of 5388 LLR were carried out including 1184 major LLRs. The most frequent indication for laparoscopic right hepatectomy (LRH) was colorectal liver metastases (37.0%). Seven centers used hand assistance or hybrid approach selectively for LRH mostly at the beginning of their experience. Seven centers apply Pringle's maneuver routinely. The conversion rate for all major LLRs was 10% and mean operative time was 291 min. Mean estimated blood loss for all major LLR was 327 ml and negative surgical margin rate was 96.5%. Major LLRs still remain challenging procedures requiring important experience in both laparoscopy and liver surgery. Stimulating the younger generation to learn and accomplish these techniques is the better way to guarantee further development of this surgical field.

show abstract

Parenchymal-Sparing Surgery: What Is Behind It?

Gamboa

Maithel

2019

Colorectal Cancer Liver Metastases

View full text Add to dashboard Cite

Laparoscopic liver resection with selective prior vascular control

Cited by 33 publications

References 33 publications

Bleeding control during laparoscopic liver resection: a review of literature

Bleeding control during laparoscopic liver resection: a review of literature

International experience for laparoscopic major liver resection

Parenchymal-Sparing Surgery: What Is Behind It?

Contact Info

Product

Resources

About