Technical evolution of laparoscopic hepatic resection: a single institutional experience.

Yuji Soejima, Toru Ikegami, Hideki Ijichi, Tetsuo Ikeda, Ken Shirabe, Tomoharu Yoshizumi, Hideaki Uchiyama, Yoichi Yamashita, Norifumi Harimoto, Takeo Toshima, Hiroshi Matsuura, Kenichiro Okadome, Yoshihiko Maehara

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Laparoscopic hepatic resection (LHR) is still a challenging and developing surgical modality because of technical difficulty and a lack of training opportunities and experience. In this study, we present the results of our initial experiences of LHR, focusing on technical evolution in the management of LHR. Between April 2011 and March 2012, a total of 12 LHRs were performed. The first 5 of these LHRs were performed under laparoscopic assistance (hybrid-LHR), while the last 7 LHRs were performed totally laparoscopically (pure-LHR). Indications for LHR were hepatocellular carcinoma (n = 9) and metastatic liver cancer (n = 3). LHR procedures consisted of partial resection (n = 2), left lateral segmentectomy (n = 2), and left lobectomy (n = 1) in the hybrid-LHR group, and partial resection (n = 4), left lateral segmentectomy (n = 2), and right lobectomy (n = 1) in the pure-LHR group. Operative outcomes were compared between the groups and technical modifications were evaluated. The mean operative time, blood loss, and length of hospital stay in the hybrid- and pure-LHR groups were 3.8 and 6.1 hours, 220 and 611 ml, and 9.4 and 7.4 days, respectively. There were no postoperative complications in both groups. Tumor margins were negative in all cases. LHR is a feasible and effective procedure for patients with various types of liver tumors, although technical challenges still need to be overcome.

Original languageEnglish
Pages (from-to)226-232
Number of pages7
JournalUnknown Journal
Volume103
Issue number11
Publication statusPublished - Nov 2012

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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