Single-port laparoscopic hepatectomy: technique, safety, and feasibility in a clinical case series

Aikawa, Masayasu; Miyazawa, Mitsuo; Okamoto, Koichi; Toshimitsu, Yasuko; Okada, Katsuya; Ueno, Yosuke; Yamaguchi, Shigeki; Koyama, Isamu

doi:10.1007/s00464-011-2095-1

Cited by 48 publications

(51 citation statements)

References 27 publications

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“…The small case series demonstrated that this technique is feasible in well-selected patients when performed by experienced laparoscopic hepatobiliary surgeons. All previous reports concluded that correct patient selection and laparoscopy experience are the most important part of a successful outcome [10][11][12][13][14][15].…”

Section: Resultsmentioning

confidence: 99%

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Single-Port Laparoscopic Liver Resection: Largest Turkish Experience

et al. 2016

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Single-port laparoscopic surgery has the advantage of a hidden scar and reduced abdominal wall trauma. Although single-port laparoscopic surgery is widely performed for other organs, its application is very limited for liver resection. Here, we report our experience with nine patients who underwent single-port laparoscopic liver resection. Nine patients underwent single-port laparoscopic liver resection for the indications of hydatid cyst, hepatocellular carcinoma, and colorectal cancer liver metastasis. Nine patients were successfully treated with single-port laparoscopic surgery. The operative time was between 60 and 240 min. The only operative complication was bleeding up to 650 mL in a patient with cirrhosis. No postoperative complications occurred. All patients were discharged earlier than usual. Single-port laparoscopic liver surgery is a challenging surgery. Surgeon with the experience of laparoscopic liver surgery should perform the single-port laparoscopic liver surgery. It is technically feasible with a good outcome in well-selected patients. Initial cases must be benign lesions to avoid jeopardizing oncological safety.

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Section: Resultsmentioning

confidence: 99%

“…The indications, contraindications, and technical difficulties such as instrument crowding, absence of triangulation, parallel field of view, and two-to three-instrument restriction depending on the port choice have been discussed in detail in previous reports [10][11][12][13][14][15].…”

Section: Introductionmentioning

confidence: 99%

Single-Port Laparoscopic Liver Resection: Largest Turkish Experience

et al. 2016

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“…5,6 The single-incision laparoscopic method is less invasive than conventional multiport laparoscopy, but there may be unique difficulties for the laparoscopic surgeon. [9][10][11][12][13][14][15] First, retraction is significantly limited. The introduction of a camera and various instruments parallel to each other may result in decreased mobility and the collision of instruments.…”

Section: Discussionmentioning

confidence: 99%

Intrahepatic Glissonian Approach for Single-Port Laparoscopic Liver Resection

Machado

Surjan

Makdissi

2014

Journal of Laparoendoscopic & Advanced Surgical Techniques

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“…El tiempo quirú rgico medio fue de 153 min, similar al descrito en otras publicaciones [18][19][20][21] . El tiempo invertido en la hepatectomía izquierda alarga el tiempo medio empleado en nuestros casos, siendo de 138 min para la seccionectomía lateral izquierda.…”

Section: Discusió Nunclassified

“…La cirugía laparoscó pica por incisió n ú nica se aplicó inicialmente a procedimientos como la colecistectomía 12 y la apendicectomía 13 y posteriormente se ha ido ampliando a otros campos como la cirugía bariá trica, la cirugía de colon o la esplenectomía [14][15][16] . La aplicació n en cirugía hepá tica se reduce hoy en día a publicaciones de series de casos clínicos [17][18][19][20][21] .…”

Section: Introducció Nunclassified