Laparoscopic Right Hepatectomy: Original Technique and Results

Dagher, Ibrahim; Caillard, C.; Proske, Jan Martin; Carloni, Alessio; Laïnas, Panagiotis; Franco, Dominique

doi:10.1016/j.jamcollsurg.2007.09.012

Cited by 75 publications

(51 citation statements)

References 12 publications

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“…Operative time and mortality in our study were comparable with reports of previous LRH with (Kim et al, 2016) or without LHM (Gayet et al, 2007;Dagher et al, 2008;Medbery et al, 2014;Lainas et al, 2015), as shown in Table 4. Specifically, there was no severe liver-related morbidity, reoperation, readmission, or death in our series, demonstrating that our technique represents a safe and feasible approach.…”

Section: Discussionsupporting

confidence: 90%

“…Besides less blood loss, our series showed a lower conversion rate (0% versus ranging from 10% to 14%) compared with previous reports of LRH without LHM (Gayet et al, 2007;Dagher et al, 2008;Medbery et al, 2014;Lainas et al, 2015), and a less operating time compared with ORH with LHM (Wu et al, 2010). Operative time and mortality in our study were comparable with reports of previous LRH with (Kim et al, 2016) or without LHM (Gayet et al, 2007;Dagher et al, 2008;Medbery et al, 2014;Lainas et al, 2015), as shown in Table 4.…”

Section: Discussionsupporting

confidence: 85%

“…If massive bleeding was encountered, portal triad clamping or IVC exclusion was suggested for its control (Wu et al, 2010). We reviewed reports of large series (of at least 10 cases) utilizing LRH with (Kim et al, 2016) or without LHM (Gayet et al, 2007;Dagher et al, 2008;Medbery et al, 2014;Lainas et al, 2015) and ORH with LHM (Wu et al, 2010) in recent years (Table 4). Our series presented a lower intraoperative blood loss in comparison with previous series of LRH with or without LHM, and ORH with LHM.…”

Section: Discussionmentioning

confidence: 99%

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Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

Cai

Wei

et al. 2016

J. Zhejiang Univ. Sci. B

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Abstract:Objective: The liver hanging maneuver (LHM) is rarely applied in laparoscopic right hepatectomy (LRH) because of the difficulty encountered in retrohepatic tunnel (RT) dissection and tape positioning. Thus far no report has detailed how to quickly and easily establish RT for laparoscopic LHM in LRH, nor has employment of the Goldfinger dissector to create a total RT been reported. This study's aim was to evaluate the safety and feasibility of establishing RT for laparoscopic LHM using the Goldfinger dissector in LRH. Methods: Between March 2015 and July 2015, five consecutive patients underwent LRH via the caudal approach with laparoscopic LHM. A five-step strategy using the Goldfinger dissector to establish RT for laparoscopic LHM was adopted. Perioperative data were analyzed. Results: The median age of patients was 58 (range, 51-65) years. Surgery was performed for one intrahepatic lithiasis and four hepatocellular carcinomas with a median size of 90 (40-150) mm. The median operative time was 320 (282-358) min with a median blood loss of 200 (200-600) ml. Laparoscopic LHM was achieved in a median of 31 (21-62) min, and the median postoperative hospital stay was 14 (9-16) d. No transfusion or conversion was required, and no severe liver-related morbidity or death was observed. Conclusions: The Goldfinger dissector is a useful instrument for the establishment of RT. A five-step strategy using the Goldfinger dissector can quickly and easily facilitate an RT for a laparoscopic LHM in LRH.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

Cai

Wei

et al. 2016

J. Zhejiang Univ. Sci. B

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“…This sudden proliferation concerns mainly minor hepatectomies (resection of less than 3 segments), and, until recently, only sporadic reports of major laparoscopic liver resections existed [3,4,6,9,[12][13][14]. In 2009, a multicenter international study by Dagher et al [10] of 210 major liver resections using laparoscopy, demonstrated that laparoscopic major hepatectomies are feasible in selected patients, when performed by experienced surgeons.…”

Section: Discussionmentioning

confidence: 99%

European experience of laparoscopic major hepatectomy

Tzanis

Shivathirthan

Laurent

et al. 2012

J Hepato Biliary Pancreat

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Background/purpose Laparoscopic hepatectomies have seen a worldwide proliferation. Major anatomic resections, which were initially considered unsuitable for laparoscopy, are currently confined to a few centers of expertise. The aim of this study was to discuss the current trends and techniques in laparoscopic major hepatectomy in Europe. Methods The prospective databases of ten European centers were combined to provide answers to a questionnaire that had been addressed to all European teams known to perform laparoscopic liver surgery. Results Between 1996 and 2011 a total of 2245 laparoscopic liver resections have been carried out, of which 495 (22 %) were major resections. The proportion of laparoscopic right and left hepatectomies varied between 4 and 40 % of all major hepatectomies of the same type. Benign, primary malignant and metastatic lesions were, respectively, 22.4, 19.6 and 58 % of all indications. The different techniques and approaches, as regards hand assistance, hepatic inflow and outflow control, liver mobilization and concomitant colectomies, are discussed. Conclusions To date, an important level of experience of laparoscopic liver resection has been accumulated in Europe, and experience of major hepatectomies is constantly increasing. However, they remain technically very demanding procedures which should be confined to expert surgeons who have already acquired considerable experience with simpler laparoscopic liver resections.

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“…The surgeon's hand can be removed, and a hand port can be inserted to introduce laparoscopic instruments for laparoscopic liver surgery to major hepatectomy or posterosuperior segments [16,17]. In some centers, this approach has been used systematically, but others consider it as useless [18,19]. However, when it is difficult to mobilize the liver and obtain a good surgical view or to control unexpected bleeding during pure laparoscopic liver surgery (fig.…”

Section: Approaches To Laparoscopic Hepatectomymentioning

confidence: 99%

Laparoscopic Hepatectomy for Liver Cancer

Kanazawa

Tsukamoto

Shimizu

et al. 2015

Dig Dis

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This chapter covers a range of important topics of laparoscopic hepatectomy as a novel approach toward treatment of liver cancer. Although laparoscopic hepatectomy was performed in a limited number of centers in the 1990s, technological innovations, improvements in surgical techniques and accumulation of experience by surgeons have led to more rapid progress in laparoscopic hepatectomy in the late 2000s for minimally invasive hepatic surgery. Currently, laparoscopic hepatectomy can be performed for all tumor locations and several diseases via several approaches. The laparoscopic approach can be applied to several types of resection, not only for tumors but also for liver transplantation, with equivalent or better results compared with those obtained with open surgery. Therefore, laparoscopic hepatectomy will become a standard procedure for treatment of liver cancer in the near future.

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Laparoscopic Right Hepatectomy: Original Technique and Results

Cited by 75 publications

References 12 publications

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

European experience of laparoscopic major hepatectomy

Laparoscopic Hepatectomy for Liver Cancer

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