Outcomes of Laparoscopic Liver Resection for Lesions Located in the Right Side of the Liver

Cho, Jai Young; Han, Ho‐Seong; Yoon, Yoo‐Seok; Shin, Samuel Jaeho

doi:10.1001/archsurg.2008.510

Cited by 89 publications

(78 citation statements)

References 22 publications

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“…With advances in laparoscopic instruments and parenchymal transection devices associated with improved experience of complex laparoscopic hepatobiliary resections; the use of laparoscopic hepatic resection has been growing, especially formal right hepatectomy or even mono and bi-segmentectomy of the right lobe. More recently, laparoscopic hepatectomy has been performed with dismal morbidity and low mortality in some referral centers 1,2,3,4,5,6,10,11,12,13,14,15,17,18 .…”

Section: Introductionmentioning

confidence: 99%

“…Difficult-to-access lesions in the right hepatic lobe may be safely resected using laparoscopic approach with low conversion rates and morbidity 3,11 . Right posterior sectioniectomy is a good parenchyma-sparing procedure that may be used to treat both benign and malignant hepatic neoplasms.…”

Section: Introductionmentioning

confidence: 99%

“…Não houve mortalidade e a morbidade foi nula. A mediana de internação foi de três dias (2)(3)(4)(5). A mediana de retorno às atividades cotidianas foi de 12 dias (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20).…”

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“…A mediana de retorno às atividades cotidianas foi de 12 dias (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). A mediana de seguimento foi de 13 meses (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). Não houve recidiva de lesão.…”

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Setorectomia posterior direita laparoscópica no tratamento dos tumores hepáticos

Costa¹,

Araujo²,

Teixeira³

2010

ABCD, arq. bras. cir. dig.

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HEADINGS -Laparoscopy. Hepatectomy. Liver neoplasms/surgery. Neoplasic metastases.ABSTRACT -Background -Resection of neoplasms arising in the posterior right sector is usually a technical challenge due to approach difficulties. Additionally, laparoscopic hepatectomy has become an interesting alternative with several advantages (low morbidity, short hospital stay, early return work activities and good cosmetic results). Aim -To report a series of patients who underwent laparoscopic right posterior sectioniectomy performed by a single surgical team. Methods -Five patients were operated. Their ages ranged from 21 to 63 years (median 43 years). There were four women and one man. Etiology of the neoplasm was: adenoma (n=2), hepatocellular carcinoma (n=1) and metastasis (n=2). There was a single lesion in three cases (60 %). The mean lesion diameter was 3,3 cm (1,8-5). It was analyzed: operative time, intraoperative bleeding, morbidity, length of stay and time of return to usual activity. Results -The mean surgical time was 160 minutes (90-260). The mean intraoperative blood loss was 200 ml (0-500). None of the patients received transfusions. There was no mortality and no morbidity. The median hospital stay was three days (2-5). The median length of time taken to return to day-to-day activities was 12 days (7-20). The median follow-up period was 13 months (1-20). There was no tumor recurrence. Conclusion -Laparoscopic right posterior sectioniectomy (bi-segmentectomy VI + VII) is a good option to treat hepatic tumors located in the posterior sector of the right lobe. It is a safe procedure that avoids large incisions with no mortality or morbidity is this series. This approach also bring good cosmetic result and early return to work.RESUMO -Introdução -A ressecção de neoplasias no setor posterior direito costuma ser um desafio técnico pela dificuldade de sua abordagem. Adicionalmente, as hepatectomias laparoscópicas tem se tornado alternativa interessante em virtude de muitas vantagens (baixa morbidade, curto tempo de internação, retorno precoce as atividades laborais e bons resultados cosméticos). Objetivo -Relatar experiência em doentes submetidos à setorectomia posterior direita laparoscópica por uma única equipe. Métodos -Cinco doentes foram operados entre novembro de 2008 a agosto de 2010. A idade variou de 21 a 63 anos com mediana de 43 anos. Foram quatro mulheres e um homem. A causa das neoplasias foi: adenoma (n=2), hepatocarcinoma (n=1) e metástases (n=2). A lesão foi solitária em três casos (60 %). A média do tamanho das lesões foi 3,3 cm (1,8-5). Foram analisados: tempo cirúrgico, sangramento operatório, morbimortalidade, tempo de internação e tempo de retorno à atividade habitual. Resultados -A média de tempo cirúrgico foi de 160 minutos (90-260). A de sangramento intra-operatório foi de 200 ml (0-500). Nenhum doente foi transfundido. Não houve mortalidade e a morbidade foi nula. A mediana de internação foi de três dias (2-5). A mediana de retorno às atividades cotidianas foi de 12 dias (7-20). A mediana de...

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

unclassified

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Setorectomia posterior direita laparoscópica no tratamento dos tumores hepáticos

Costa¹,

Araujo²,

Teixeira³

2010

ABCD, arq. bras. cir. dig.

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“…The surgical field then was irrigated, after which a silastic drain was inserted, and the wound was closed in layers. 26 For major liver resection in the right side of the liver, including a hemihepatectomy and a right posterior sectionectomy, the liver was fully mobilized from the inferior vena cava, and multiple small hepatic veins were clipped and divided. Glisson's approach was used for anatomic major liver resection.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Current Status of Laparoscopic Liver Resection: Experiences from Tertiary Center

Periyasamy

Han

Cho

et al. 2017

J Minim Invasive Surg

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Role of intercostal trocars on laparoscopic liver resection for tumors in segments 7 and 8

Lee

Han

Yoon

et al. 2014

J Hepato Biliary Pancreat

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Performing laparoscopic liver resection for lesions located in segment 7 and 8 is technically difficult, as the operative field is far from the conventional trocar site, and the liver impedes free motion of the laparoscopic instrument. Inserting the port through the intercostal space (ICS) may facilitate liver resection for these lesions. From January 2012 to July 2013, five patients (four men and one woman) underwent laparoscopic S7 or 8 segmentectomy for liver metastasis and hepatocellular carcinoma (HCC). Ports were inserted at the 7th and 9th ICS, respectively, in addition to conventional abdominal ports. The mean age was 58 ± 10 (45-74) years; operation time, 197 ± 68 (110-300) minutes; blood loss, 161 ± 138 (40-320) ml; and length of hospital stay, 7 ± 3 (4-12) days. Pathologic findings revealed three, one, and one case(s) of colon cancer metastasis, breast cancer metastasis, and HCC, respectively. The mean tumor size and tumor-free margin were 2.2 ± 1.1 cm and 5.8 ± 1.9 mm, respectively. There were no postoperative complications. Laparoscopic liver resection using intercostal trocars could be a useful method for tumors located in segments 7 and 8 of the liver in selected patients.

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Outcomes of Laparoscopic Liver Resection for Lesions Located in the Right Side of the Liver

Abstract: Although greater technical refinement is required for a minor resection in the superior part of the right side of the liver, laparoscopic right-sided liver resection is feasible and safe.

Cited by 89 publications

References 22 publications

Setorectomia posterior direita laparoscópica no tratamento dos tumores hepáticos

Setorectomia posterior direita laparoscópica no tratamento dos tumores hepáticos

Current Status of Laparoscopic Liver Resection: Experiences from Tertiary Center

Role of intercostal trocars on laparoscopic liver resection for tumors in segments 7 and 8

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