Laparoscopic right hepatectomy and partial resection of the diaphragm for liver metastases

Abstract

The minimally invasive approach to secondary tumors requiring right hepatectomy is feasible and safe even when there is diaphragmatic involvement. Larger series with long-term follow-up evaluation are needed to determine whether these short-term results translate into durable benefits.

Initial experience with laparoscopic hepatic resection at a comprehensive cancer center

“…They have published multiple series of laparoscopic hepatectomies for lesions in the posterior segments and have increased the experience with lesions larger than 5 cm. They have even performed laparoscopic major hepatectomies in the setting of local tumor invasion into nearby structures [9,14,15]. The open technique currently has the advantage that complete vascular inflow and outflow occlusion can be obtained more easily [16].…”

A novel technique for diaphragm biopsies in human patients

“…Access to the diaphragm via its inferior surface during laparoscopy has already been described for repair of traumatic lesions of the diaphragm [5,6], diaphragm plication procedures [7], resection of diaphragmatic endometriosis lesions [8], partial diaphragmatic resections for cancer invasion [9], or j o u r n a l o f s u r g i c a l r e s e a r c h 1 9 6 ( 2 0 1 5 ) 3 9 5 e3 9 8 management of locally extensive ovarian cancers [10], and hiatus hernia repair [11]. The present study shows that this approach can also be used to perform good quality diaphragm biopsies.…”

Combined thoraco‐laparoscopic hepatectomy concomitant with resection of the diaphragm for solitary peritoneal seeding from cervical cancer: A case report

“…The advancement of laparoscopic surgery widens the border of minimally invasive surgery (MIS) even for tumors around the diaphragm. [1][2][3][4][5] Nonetheless, reports of laparoscopic resection are few for tumors invading the right diaphragm and liver. This is because the depth of invasion to the diaphragm is difficult to diagnose from laparoscopic visual information alone, and the decision of whether diaphragmatic resection with the whole layer is relevant or not.…”