Perioperative Analysis of Laparoscopic Liver Resection with Different Methods of Hepatic Inflow Occlusion

Tan, Jun; Tan, YunChang; Zhu, YuLi; Chen, Ke; Hu, BenShun; Tan, Hua-Min; Ding, Xiangjiu; Leng, Jian-jun; Chen, Fei; Dong, Jiahong

doi:10.1089/lap.2011.0294

Cited by 8 publications

(4 citation statements)

References 23 publications

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“…The occlusion of hemihepatic blood flow and selective laparoscopy can reduce hepatic ischemia-reperfusion injury, which reduces the mortality rate. 31 Therefore, for patients with insufficient liver function, the remnant volume of the liver must be preserved, and we should consider selective occlusion of the hemihepatic and portal vein blood flow. For minor resections, the resection volume is limited.…”

Section: Discussionmentioning

confidence: 99%

Recurrence of Hepatocellular Carcinoma After Laparoscopic Hepatectomy: Risk Factors and Treatment Strategies

Chen

Wang

et al. 2017

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Section: Discussionmentioning

confidence: 99%

Recurrence of Hepatocellular Carcinoma After Laparoscopic Hepatectomy: Risk Factors and Treatment Strategies

Chen

Wang

et al. 2017

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…Furthermore, portal triad clamping results in similar hemodynamics modifications during laparoscopy and open surgery (Grade B). Pringle maneuver, hemihepatic clamping and selective clamping are possible during LLR with similar results concerning blood loss (Grade C). Furthermore, the excellent view of the hepato‐caval confluence during laparoscopy probably facilitates outflow control (Grade D).…”

Section: Resultsmentioning

confidence: 79%

“…[66] 2011 Surg Endosc Precoagulation by mono or bipolar RF for liver transection Kobayashi et al [34] 2011 Surg Endosc Use of fibrin sealant at the cut liver surface Packiam et al [67] 2012 J Gastrointest Surg Robotic LLR Patriti et al [68] 2012 Updates Surg Comparing intermittent Pringle maneuver versus no clamping in robotic LLR Tan et al [31] 2012 J Laparoendosc Adv Surg Tech A Use of intermittent Pringle, hemihepatic clamping and selective clamping Tranchart et al [6] 2013 Am J Surg Prior vascular control Ji et al [69] 2004 Chir Gastroenterol Multifunctional device used during liver transection Retrospective series Toyama et al [23] 2006 J Hepatobiliary Pancreat Surg…”

Section: Transection Devicesmentioning

confidence: 99%

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Bleeding control during laparoscopic liver resection: a review of literature

Tranchart

O’Rourke

Dam

et al. 2015

J Hepatobiliary Pancreat Sci

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Despite the established advantages of laparoscopy, bleeding control during laparoscopic liver resection (LLR) is a liver-specific improvement. The 2nd International Consensus Conference on Laparoscopic Liver Resection was held in October 2014 at Morioka, Japan. One of the most capital questions was: What is essential in bleeding control during LLR? In order to correctly address this question, we conducted a comprehensive review of the literature. Essential points based on personal experience of the expert panel are also discussed. A total of 54 publications were identified. Based on this analysis, the working group built these recommendations: (1) a pneumoperitoneum of 10-14 mmHg should be used as it allows a good control of the bleeding without significant modifications of hemodynamics; (2) a low central venous pressure (<5 mmHg) should be used; (3) laparoscopy facilitates inflow and outflow control; and (4) surgeons should be experienced with the use of all surgical devices for liver transection and should master laparoscopic suture before starting LLR. Precoagulation with radiofrequency can be useful, particularly in cases of atypical resection. These recommendations are mostly based on experts' opinions and on B or C quality of evidence grade studies. More prospective data are required to confirm these results.

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Appraisal of Laparoscopic Liver Resection in the Treatment of Liver Metastasis with Special Reference to Outcome in Colorectal Malignancies

et al. 2013

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Treatment of metastatic liver disease is at the crossroads of an evolutionary transformation with more and more reports reiterating the benefits of resectional therapy in various cancers. A quest for application of laparoscopic approaches to the management of liver metastasis has arisen due to the projected benefits of less morbidity, early recovery, and equivalent oncological outcome in selected malignancies. However, the diverse and heterogenous data on indications, operative technique, and outcome evaluation make a comparative analysis of these studies difficult. This review is an appraisal of technique and outcome of minimally invasive liver resection as reported in the current literature with special reference to treatment of metastatic colorectal cancers.

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Perioperative Analysis of Laparoscopic Liver Resection with Different Methods of Hepatic Inflow Occlusion

Abstract: Both HVO and SVO are feasible in laparoscopic hepatectomy and have the advantage of reducing liver remnant ischemia injury and modality rate over IPO. HVO is easy to do for left lateral lobe or resection of the left half of the liver. SVO is suitable for right lobe resection.

Cited by 8 publications

References 23 publications

Recurrence of Hepatocellular Carcinoma After Laparoscopic Hepatectomy: Risk Factors and Treatment Strategies

Recurrence of Hepatocellular Carcinoma After Laparoscopic Hepatectomy: Risk Factors and Treatment Strategies

Bleeding control during laparoscopic liver resection: a review of literature

Appraisal of Laparoscopic Liver Resection in the Treatment of Liver Metastasis with Special Reference to Outcome in Colorectal Malignancies

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