Laparoscopic Right Hepatectomy With Intrahepatic Transection of the Right Bile Duct

Tsai, Tzu-Jung; Chouillard, Élie; Gumbs, Andrew A.

doi:10.1245/s10434-011-1927-5

Cited by 8 publications

(5 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Tsai et al recently reported on a series of 13 patients undergoing laparoscopic right hepatectomies for malignancy. 49 The conversion rate was 7.7% (one patient) with a mean operative time of 401 minutes and a mean blood loss of 873 mL.…”

Section: Major Hepatectomiesmentioning

confidence: 94%

Laparoscopic Liver Resection: Lessons at the End of the Second Decade

Afaneh

Kluger

2013

Semin Liver Dis

View full text Add to dashboard Cite

Laparoscopic liver surgery has evolved over the last two decades. Advancements in surgical technology, surgical technique, and postoperative care have aided in lifting barriers to laparoscopic liver resection (LLR). In this review, the authors highlight the modern indications, benefits, safety, and feasibility of laparoscopic liver resections. Moreover, they analyze various studies comparing laparoscopic major hepatectomies to open surgery. Morbidity and mortality rates are at an all-time low in this era of laparoscopic liver surgery. The role of laparoscopy for oncologic resections is compared with open liver resections. Attention is given to oncologic margins and survival rates. In addition, the authors examine the safety and efficacy of LLR for nontraditional laparoscopic segments and tumors abutting major hepatic vasculature. Various resection techniques are reviewed including the use of the hanging-maneuver and modern stapling devices. Finally, they examine several novel techniques for laparoscopic liver resections including the hybrid technique, as is used in laparoscopic living donor hepatectomies, the use of hand-assistance to avoid conversion to open surgery, and the use of the robotic platform to aid in complex biliary or vascular reconstructions. Current barriers to laparoscopic liver surgery will continue to fall over the next decade.

show abstract

Section: Major Hepatectomiesmentioning

confidence: 94%

Laparoscopic Liver Resection: Lessons at the End of the Second Decade

Afaneh

Kluger

2013

Semin Liver Dis

View full text Add to dashboard Cite

show abstract

“…[5][6][7][8][9] With increasing experience in laparoscopic liver surgery, the prospect of a laparoscopic approach for the management of ICC can no longer be considered as an extreme or rare procedure. The aim of our study was to determine the feasibility and safety of LLR for ICC and to analyze its clinical and oncologic outcome compared with conventional open liver resection.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Liver Resection for Intrahepatic Cholangiocarcinoma

Han

Yoon

et al. 2015

Journal of Laparoendoscopic & Advanced Surgical Techniques

View full text Add to dashboard Cite

show abstract

“…Minimally invasive surgery for the management of gallbladder cancer may be ideal before attempting formal laparoscopic major hepatectomy. Although it is important to be able to identify the left and right hepatic ducts, extraparenchymal transection may increase the risk of bile duct injury and is now done via intrahepatic transection [19]. …”

Section: Discussionmentioning

confidence: 99%

“…Due to the increased risk of damaging the contralateral bile duct, and if possible, the left or right hepatic duct is taken with a laparoscopic GIA stapler within the hepatic parenchyma (fig. 5) [19]. …”

Section: Methodsmentioning

confidence: 99%

Adopting Gayet’s Techniques of Totally Laparoscopic Liver Surgery in the United States

Gumbs

Gayet

2013

Liver Cancer

Self Cite

View full text Add to dashboard Cite

Professor Brice Gayet of the Institut Mutualiste Montsouris in Paris, France, has developed totally laparoscopic techniques for all segments of the liver. As a pioneer in the field of minimally invasive hepato-pancreato-biliary surgery, he started a Minimally Invasive Hepato-Pancreato-Biliary Fellowship in 2006. A retrospective review of all hepatic cases performed by a single surgeon since completing this Fellowship was undertaken. From November 2007 to October 2012, a total of 80 liver resections were done, of which 73 were begun with the intention of completing the case laparoscopically. Of these, more than 90% were completed laparoscopically and 88% were for malignant disease. One of the foundations of Professor Gayet’s techniques is the low lithotomy or ‘French’ position and the utilization of a small robotically controlled laparoscope holder that is sterilizeable and considerably more economic than complete surgical systems. Prototypes exist of robotically controlled hand-held laparoscopic instruments that, unlike the complete surgical system, enable surgeons to maintain a sense of touch (haptics). Proper training in minimally invasive hepato-pancreato-biliary techniques can be obtained with surgeons able to independently perform laparoscopic major hepatectomies without senior minimally invasive backup. Furthermore, miniature and more affordable robotics may enable more surgeons to enjoy the benefits of minimally invasive surgery while maintaining patient safety and minimizing the rising burden of health-care costs worldwide.

show abstract

Laparoscopic Right Hepatectomy With Intrahepatic Transection of the Right Bile Duct

Abstract: Laparoscopic major hepatectomy is feasible. As in open hepatectomies, intrahepatic transection of the right bile duct may be safer because there is a decreased risk of injury to the left hepatic duct.4 (,) 5 Larger series with longer-term follow-up are necessary.

Cited by 8 publications

References 5 publications

Laparoscopic Liver Resection: Lessons at the End of the Second Decade

Laparoscopic Liver Resection: Lessons at the End of the Second Decade

Laparoscopic Liver Resection for Intrahepatic Cholangiocarcinoma

Adopting Gayet’s Techniques of Totally Laparoscopic Liver Surgery in the United States

Contact Info

Product

Resources

About