Laparoscopic Liver Surgery: New Frontiers

Abstract

Recent studies have verified oncologic integrity of LHR. However, mastering of LHR is still a quite demanding task limiting expansion of this patient friendly technique. This emphasizes the necessity of systematic training for laparoscopic liver surgery. This article reviews the state of the art of laparoscopic liver surgery lightening burning issues of research and clinical practice.

Impact of surgical margins on overall and recurrence-free survival in parenchymal-sparing laparoscopic liver resections of colorectal metastases

“…Since it is not clear in the literature how an R1 margin may affect the risk of cancer recurrence and overall survival with the laparoscopic approach, it is logical to argue that an R1 margin must be avoided in all cases [45,46]. To the best of our knowledge, no studies have yet described the risk factors leading to R1 resection, which is why we have focused on this issue.…”

Laparoscopic hepato-biliary-pancreatic surgery: present practices and prospects

“…General morbidity cardiopulmonary complications, abscesses, and wound complications are also reduced with the application of the laparoscopic approach. Further, the rate of incisional hernias after LHR is lower than that after open surgery [9].…”

Tissue Management With Tri-Staple Technology in Major and Minor Laparoscopic Liver Resections

“…Although the development of laparoscopic liver resection has been limited over time, LLR is a wellestablished worldwide procedure, 19,20 which is actually reported more for malignancies 9-14 than for benign 4,6,15,16,21 disease. The present study shows that LLR is safe and feasible for different liver diseases, involves minimal blood loss and very few complications, and is characterized by a short hospital stay.…”