Document Detail

Laparoscopic liver resections.
MedLine Citation:
PMID:  9787208     Owner:  NLM     Status:  MEDLINE    
The authors present the rationale of the laparoscopic approach to liver surgery, showing the technique of fully endoscopic and endoscopic-assisted formal and wedge hepatic resections and the early results of their experience. From 1993 to 1997, 38 liver resections have been attempted through the laparoscopic or the laparoscopic assisted approach. Out of these 38 resections, 5 were wedge resections, 11 were segmentectomies, 10 were left formal hepatectomies, 1 was an extended left hepatectomy, 5 were bisegmentectomies, 5 were right formal hepatectomies, and 1 was an extended right hepatectomy. In two cases, one segmentectomy and one bisegmentectomy, the procedures were converted to open surgery. Wedge, segmental, and left liver resections were usually performed through a fully endoscopic approach, whereas right liver resections were accomplished by a video-assisted approach. In all but six cases, the resections were attempted for malignancy. There were no intra-operative deaths. One patient died on postoperative day-1 because of liver failure and severe coagulopathy. The early results are comparable to those of conventional surgery, with the benefits derived from minimal access surgery. Laparoscopic liver resections are technically feasible with an acceptable morbidity and mortality rate, but extensive experience in conventional liver surgery, advanced laparoscopic surgery, and the availability of all requested technology are indispensable prerequisites.
C G Hüscher; M M Lirici; S Chiodini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in laparoscopic surgery     Volume:  5     ISSN:  1071-5517     ISO Abbreviation:  Semin Laparosc Surg     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-11-20     Completed Date:  1998-11-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9432584     Medline TA:  Semin Laparosc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  204-10     Citation Subset:  IM    
Ospedale San Giovanni, Rome, Italy.
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MeSH Terms
Carcinoma, Hepatocellular / surgery*
Hepatectomy / methods*
Liver Diseases / surgery*
Liver Neoplasms / secondary,  surgery*

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