Laparoscopic resection of solid liver tumours

Laparoscopic liver resection of benign liver tumors

“…However, the first true anatomical liver resection, namely a left lateral segmentectomy, was reported in 1996 by Azagra et al [39]. There has been an increasing number of publications concerning the laparoscopic management of benign liver tumors for surgical biopsy [40], resection [41][42][43][44][45][46][47], or local ablation [48]. Except for two recent European published series [49][50][51] most of these articles report a limited number of patients with limited follow-up.…”

Early Experience With Laparoscopic Approach for Solid Liver Tumors: Initial 16 Cases

“…The gradual trend toward bloodless surgery in traditional techniques of hepatic resection, 17,18 greater experience with laparoscopic surgery, and improvements in video equipment, laparoscopic instrumentation, and surgical skills have led hepatobiliary surgeons to attempt laparoscopic management of various hepatic lesions. 6,9,19 Management of biliary cysts offers good training for laparoscopic liver surgery. With increasing experience, minor hepatic resection of solid tumors can be safely performed.…”

“…With increasing experience, minor hepatic resection of solid tumors can be safely performed. 19,20 Left lateral segmentectomy is the first laparoscopic anatomical hepatectomy that the surgeon can undertake during this learning process. 21,22 Huscher et al 23 published 38 cases of hepatic resection, including wedge, segmental, and left liver resections, performed in a totally laparoscopic fashion, whereas right liver resections were performed using a video-assisted approach.…”

“…Kaneko et al 20 considered superficially or anatomically favorably located liver lesions to be the best indications for laparoscopic resection. This new technical approach has also been performed in cases of hepatocellular carcinoma 20,25,26 and liver metastasis, 19 whereas Hamy et al 27,28 reserved laparoscopic resection for benign tumors. Improved complex laparoscopic devices have led to safer laparoscopic hepatic surgery with minimal blood loss, which is of prime concern to the liver surgeon.…”

Hepatozelluläres Karzinom – laparoskopische und konventionell-chirurgische Verfahren

“…Ebenso kann durch die Laparoskopie auch eine histologische Sicherung erzielt werden. Teilweise zeichnet sich in den letzten Jahren eine Ausweitung laparoskopischer Techniken auch auf komplexe viszeralchirurgische Eingriffe und eben auch auf bestimmte Bereiche der Leberchirurgie ab [35][36][37][38]. Die technischen Herausforderungen der laparoskopischen Leberchirurgie sind vor allem durch Entwicklungen auf dem Gebiet der medizinischen Geräte gekennzeichnet.…”