Modified laparoscopic hepatectomy for hepatic hemangioma

Bai, Dou‐Sheng; Chen, Ping; Qian, Jianjun; Yao, Jie; Jin, Sheng‐Jie; Wang, Xiaodong; Jiang, Guo‐Qing

doi:10.1007/s00464-014-4048-y

Cited by 15 publications

(9 citation statements)

References 20 publications

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“…They concluded that hepatocellular adenoma is an extremely good indication for LLR. Bai et al 78. reported using a modified LLR method for 8–12‐cm hepatic cavernous hemangiomas.…”

Section: Indications and Oncological Outcomesmentioning

confidence: 99%

Evolution and revolution of laparoscopic liver resection in Japan

Kaneko

Otsuka

Kubota

et al. 2017

Annals of Gastroent Surgery

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Due to important technological developments and improved endoscopic techniques, laparoscopic liver resection (LLR) is now considered the approach of choice and is increasingly performed worldwide. Recent systematic reviews and meta‐analyses of observational data reported that LLR was associated with less bleeding, fewer complications, and no oncological disadvantage; however, no prospective randomized trials have been conducted. LLR will continue to evolve as a surgical approach that improves patient's quality of life. LLR will not totally supplant open liver surgery, and major LLR remains to be technically challenging procedure. The success of LLR depends on individual learning curves and adherence to surgical indications. A recent study proposed a scoring system for stepwise application of LLR, which was based on experience at high‐volume Japanese centers. A cluster of deaths after major LLR was sensationally reported by the Japanese media in 2014. In response, the Japanese Society of Hepato‐Biliary‐Pancreatic Surgery conducted emergency data collection on operative mortality. The results demonstrated that mortality was not higher than that for open procedures except for hemi‐hepatectomy with biliary reconstruction. An online prospective registry system for LLR was established in 2015 to be transparent for patients who might potentially undergo treatment with this newly developed, technically demanding surgical procedure.

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“…They concluded that hepatocellular adenoma is an extremely good indication for LLR. Bai et al 78. reported using a modified LLR method for 8–12‐cm hepatic cavernous hemangiomas.…”

Section: Indications and Oncological Outcomesmentioning

confidence: 99%

Evolution and revolution of laparoscopic liver resection in Japan

Kaneko

Otsuka

Kubota

et al. 2017

Annals of Gastroent Surgery

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“…10 Laparoscopic partial hepatectomy was performed as follows. First, the device for the modified Pringle maneuver, prepared as described elsewhere, 11 could be used to block the inflow of blood into the entire liver if necessary. If the tumor was located in the right lobe, trocar E was commonly used for the device.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopic and Open Splenectomy and Hepatectomy

Jing-feng¹,

Bai

Jiang

et al. 2017

JSLS

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Background and Objectives:Patients undergoing synchronous open splenectomy and hepatectomy (OSH) for concurrent hepatocellular carcinoma (HCC) and hypersplenism usually have major surgical trauma caused by the long abdominal incision. Surgical procedures that contribute to rapid recovery with the least possible impairment are desired by both surgeons and patients. The objective of this study was to explore outcomes in patients treated with simultaneous laparoscopic or open splenectomy and hepatectomy for hepatocellular carcinoma (HCC) with hypersplenism.Methods:We retrospectively evaluated the treatment outcomes in 23 patients with cirrhosis, HCC, and hypersplenism, who underwent simultaneous laparoscopic splenectomy and hepatectomy (LSH; n = 12) or open splenectomy and hepatectomy (OSH; n = 11) from January 2012 through December 2015. Their perioperative variables were compared.Results:LSH was successful in all patients. There were nonsignificant similarities between the 2 groups in duration of operation, estimated blood loss, and volume of blood transfused (P > .05 each). Compared with OSH, LSH had a significantly shorter postoperative visual analog scale pain score (P < .001); shorter time to first oral intake (P < .001), passage of flatus (P < .05) and off-bed activity (P < .001); shorter postoperative duration of hospitalization (P < .001); fewer days of postoperative temperature >38.0°C (P < .01); fewer postoperative complications (P < .05); and better liver and renal function on postoperative days 7 (P < .05 each).Conclusions:Simultaneous LSH is safe for selected patients with HCC and hypersplenism associated with liver cirrhosis.

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“…Performance of the modified Pringle maneuver as described in our previous article required an aspirator, a strip of cotton thread about 3 times the length of the aspirator, and a 14-French catheter. 8 If the tumor was located in the left lobe, port F was commonly used for the device. If the tumor appeared in the right lobe, port E was prepared for the device, when needed.…”

Section: Surgical Techniquementioning

confidence: 99%