Laparoscopic Liver Resections. Successes and Failures Associated with the Technique Introduction – Case Reports
Authors:
Z. Šubrt 1,2; A. Ferko 2,1; B. Jon 2; F. Čečka 2
Authors‘ workplace:
Katedra válečné chirurgie, Fakulta vojenského zdravotnictví, Univerzita Obrany Brno, vedoucí katedry:
doc. MUDr. L. Klein, CSc.
1; Chirurgická klinika Fakultní nemocnice Hradec Králové a Lékařské fakulty UK v Hradci Králové
přednosta kliniky: prof. MUDr. A. Ferko, CSc.
Práce byla podpořena výzkumným záměrem Ministerstva zdravotnictví České republiky MZO 00179906 a výzkumným záměrem F
2
Published in:
Rozhl. Chir., 2009, roč. 88, č. 9, s. 509-513.
Category:
Monothematic special - Original
Overview
The authors present initial clinical experience with laparoscopic liver resections as a case report series. The operation time, hospital and ICU stay length, perioperative blood loss, transfusion units used, and postoperative complications were recorded in a prospective way. The reasons for conversion to open surgery were also evaluated. 15 laparoscopic liver resections were completed between May 2006 and February 2009. There were 11 anatomical resections including hemihepatectomies and 4 non-anatomical laparoscopicaly completed liver resections. The initial experience shows that laparoscopic liver resection is feasible and safesate approach that requires advances experience in laparoscopic operative technique and liver surgery. Introduction of the laparoscopic technique is not easy and is associated with high risk of hilar bile duct injuries and perioperative bleeding.
Key words:
liver – laparoscopic technique – liver resection – complications
Sources
1. Dindo, D., Demartines, N., Clavien, P. A. Classification of surgical complications: a new propsal with evaluation in a cohort of 6336 patients and results of survey. Ann. Surg., 2004, vol. 240, p. 214–215.
2. Fong, Y., Jarnagin, W., Conclon, C., et al. Hand-assisted laparoscopic liver resection. Lessons from an initial experience. Arch. Surg., 2007, vol. 135, p. 854–859.
3. Cherqui, D., Husson, E., Hammoud, R., et al. Laparoscopic liver resections: a feasibility study in 30 patients. Ann. Surg., 2000, vol. 232, p. 753–762.
4. Cherqui, D., Laurent, A., Tayar, C., et al. Laparoscopic liver resection for peripheral hepatocellular carcinoma in patients with chronic liver disease: midterm results and perspectives. Ann. Surg., 2006, vol. 243, p. 499–506.
5. Cho, A., Asano, T., Yamamoto, H., et al. Laparoscopy-assisted hepatic lobectomy using hilar Glissonean pedicle transection. Surg. Endosc., 2007, vol. 21, p. 1466–1468.
6. Gigot, J. F., Glineur, D., Santiago Azagra, J., et al. Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann. Surg., 2002, vol. 236, p. 90–97.
7. Kala, Z., Benda, P., Hanke, I., et al. Laparoscopic resection of surface metastases in liver-description of the technique. Hepatogastroenterology, 2002, vol. 49, p. 889–890.
8. Karoui, M., Penna, C, Amin-Hashem, M., et al. Influence of preoperative chemotherapy on the risk of major hepatectomy for colorectal liver metastases. Ann. Surg., 2006, vol. 243, p. 1–7.
9. Koffron, A. J., Auffenberg, G., Kung, R. Evaluation of 300 minimally invasive liver resection at a single institution. Less is more. Ann. Surg., 2007, vol. 246, p. 385–394.
10. Lee, K. F., Cheung, Y. S., Chong, C. N., et al. Laparoscopic versus open hepatectomy for liver tumours: a case control study. Hong. Kong. Med. J., 2007, vol. 13, p. 442–448.
11. Mala, T., Erwin, B., Rosseland, A. R., et al. Laparoscopic liver resection: experience of 53 procedures at a single center. J. Hepatobiliary Pancreat. Surg., 2005, vol. 12, p. 298–303.
12. Ryska, M., Froněk, J., Rudiš, J., et al. Manuální a robotická laparoskopická resekce jater. Dvě kazuistiky. Rozhl. Chir, 2006, roč. 85, č. 10, s. 511–516.
13. Simillis, C., Constantinides, V. A., Tekkis, P. P., et al. Laparoscopic versus open hepatic resections for benign and malignant neoplasms-a meta-analysis. Surgery, 2007, vol. 141, p. 203–211.
14. Schmadra, T. C., Mierdl, S., Bauer, H., et al. Transesophageal echocardiography shows high risk of gas embolism during laparoscopic hepatic resection under carbon dioxide pneumopehtoneum. Br. J. Surg., 2002, vol. 89, p. 870–876.
15. Topal, B., Fieuws, S., Aerts, R., et al. Laparoscopic versus open liver resection of hepatic neoplasms: comparative analysis of short-term results. Surg. Endosc., 2008, vol. 22, p. 2208–2213.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2009 Issue 9
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