Laparoscopic Resection for Liver Tumors

Clariá, Rodrigo Sanchez; Ardiles, Victoria; Palavecino, Martín; Mazza, Oscar; Salceda, Juan; Bregante, Mariano; Pekolj, Juan; Santibañés, Eduardo de

doi:10.1097/sle.0b013e3181bb9333

Cited by 7 publications

(2 citation statements)

References 29 publications

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“…According to some studies, mortality of laparoscopic surgeries are almost the same when comparing with large case series of open major liver resection, and thus the oncologic goals like complete resections are maintained. 24 25 26 In our study, in the late period, the portion of old age, patient with comorbidity, and malignant tumor were more than in the early period. It is due to the widening of indication of laparoscopic liver resection in addition to the improvements of the surgical techniques and devices.…”

Section: Discussionmentioning

confidence: 48%

Single center experience of laparoscopic hepatectomy: the comparison of perioperative outcomes between early and late period

Son

Kim

Yun

et al. 2012

Korean J Hepatobiliary Pancreat Surg

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Backgrounds/AimsThe aim of this study is to clarify the safety and feasibility of laparoscopic hepatectomy, through comparing the early and late periods of perioperative outcomes.MethodsWe retrospectively analyzed 138 patients who underwent laparoscopic hepatectomy from January 2003 to June 2011, at Yeungnam University Hospital. We divided the total patients to early period (from January 2003 to February 2007, n=49) and late period (from March 2007 to June 2011, n=89) groups and compared the perioperative outcomes including the mean operation time, intra-operative blood loss, postoperative hospital stay, intensive care unit (ICU) stay, and duration of liver function test (LFT) normalization.ResultsThe mean operation time was 308 minutes (range: 140-510) in the early group and 193 minutes (range: 40-350) in the late period group (p<0.001). The mean intraoperative blood loss was 171 ml (range: 50-1,200) in the early and 44 ml (range: 0-400) in the late group (p=0.005). The postoperative hospital stay was 9.7 days (range: 4-31) in the early and 6.8 days (range: 2-9) in the late period (p<0.001). The ICU stay hour was 21.6 hours (range: 0-120) in the early and 2.8 hour (range: 0-24) in the late period (p<0.001). The duration of LFT normalization was 5.7 days (range: 0-39) in the early and 2.1 days (range: 0-20) in the late period (p=0.003). The perioperative outcomes in the late period were better than the early period, which showed a statistically significant difference.ConclusionsLaparoscopic hepatectomy is feasible and can be safely performed in selected patients but requires a long experience in open liver resection and mastery of laparoscopic surgical skills.

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Section: Discussionmentioning

confidence: 48%

Single center experience of laparoscopic hepatectomy: the comparison of perioperative outcomes between early and late period

Son

Kim

Yun

et al. 2012

Korean J Hepatobiliary Pancreat Surg

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“…However, the majority of publications on LLR come from developed countries from Asia, Europe, or USA; few studies from centers in other regions of the world are available. In South America, there are limited data from single-center studies [25][26][27][28][29]; however, to date, no multicenter efforts to assess the dissemination and results of LLR in South America was published.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Liver Resection: A South American Experience with 2887 Cases

et al. 2020

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Background Laparoscopic liver resections (LLR) have been increasingly performed in recent years. Most of the available evidence, however, comes from specialized centers in Asia, Europe and USA. Data from South America are limited and based on single‐center experiences. To date, no multicenter studies evaluated the results of LLR in South America. The aim of this study was to evaluate the experience and results with LLR in South American centers. Methods From February to November 2019, a survey about LLR was conducted in 61 hepatobiliary centers in South America, composed by 20 questions concerning demographic characteristics, surgical data, and perioperative results. Results Fifty‐one (83.6%) centers from seven different countries answered the survey. A total of 2887 LLR were performed, as follows: Argentina (928), Brazil (1326), Chile (322), Colombia (210), Paraguay (9), Peru (75), and Uruguay (8). The first program began in 1997; however, the majority (60.7%) started after 2010. The percentage of LLR over open resections was 28.4% (4.4–84%). Of the total, 76.5% were minor hepatectomies and 23.5% major, including 266 right hepatectomies and 343 left hepatectomies. The conversion rate was 9.7%, overall morbidity 13%, and mortality 0.7%. Conclusions This is the largest study assessing the dissemination and results of LLR in South America. It showed an increasing number of centers performing LLR with the promising perioperative results, aligned with other worldwide excellence centers.

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Laparoscopic vs open liver resection for metastatic colorectal cancer: analysis of surgical margin status and survival

Nicolás

Czerwonko

Ardiles

et al. 2022

Langenbecks Arch Surg

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Laparoscopic Resection for Liver Tumors

Abstract: In selected patients with benign and malignant liver tumors, laparoscopic liver resections can be safely performed. This procedure must be carried out by the surgeons trained in both the hepatobiliary and laparoscopic surgery.

Cited by 7 publications

References 29 publications

Single center experience of laparoscopic hepatectomy: the comparison of perioperative outcomes between early and late period

Single center experience of laparoscopic hepatectomy: the comparison of perioperative outcomes between early and late period

Laparoscopic Liver Resection: A South American Experience with 2887 Cases

Laparoscopic vs open liver resection for metastatic colorectal cancer: analysis of surgical margin status and survival

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