Is Single-Incision Laparoscopic Liver Surgery Safe and Efficient for the Treatment of Malignant Hepatic Tumors? A Systematic Review

2019 ◽  
Vol 51 (2) ◽  
pp. 425-432 ◽  
Author(s):  
Nikolaos Machairas ◽  
Dimitrios Papaconstantinou ◽  
Apostolos Gaitanidis ◽  
Natasha Hasemaki ◽  
Anna Paspala ◽  
...  
Keyword(s):  
Systematic Review ◽  
Liver Surgery ◽  
Single Incision ◽  
Hepatic Tumors ◽  
Laparoscopic Liver Surgery

scholarly journals Improving tactile sensation in laparoscopic surgery by overcoming size restrictions

2015 ◽  
Vol 1 (1) ◽  
pp. 135-139
Author(s):  
C. Wiederer ◽  
M. Fröhlich ◽  
M.W. Strohmayr
Keyword(s):  
Laparoscopic Surgery ◽  
Liver Surgery ◽  
Open Surgery ◽  
Abdominal Cavity ◽  
Tactile Sensation ◽  
Hepatic Tumors ◽  
Laparoscopic Liver Surgery ◽  
Manual Palpation ◽  
Sense Of Touch ◽  
Human Sense

Abstract Hepatic tumors appear as stiff inclusions within the surrounding soft, healthy tissue. In open surgery they are searched for by manual palpation with the gloved fingertip. However, to exploit the benefits of MIS it is mandatory to implement a substitution for the human sense of touch. Therefore, a tactile instrument has been developed with the aim of enlarging the sensing area at the tool tip once it enters the abdominal cavity through the trocar. The provision of a large sensitive surface enables the detection of nearly all sizes of tumors and decreases the time needed for the performance of this task. A prototype was manufactured by laser sintering in PA serving as a carrier for an existing flexible silicone sensor. Automated as well as manual subject palpation tests have shown that a prototypical instrument with a laterally opening lid would be a suitable device for tumor detection in laparoscopic liver surgery.

scholarly journals Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery

2014 ◽  
Vol 10 (1) ◽  
pp. 14 ◽  
Author(s):  
Azoulay Daniel ◽  
Tayar Claude ◽  
Subar Daren ◽  
Salloum Chady ◽  
Malek Alexandre ◽  
...  
Keyword(s):  
Liver Surgery ◽  
Single Incision ◽  
Laparoscopic Hepatectomy ◽  
Laparoscopic Liver Surgery

scholarly journals Performance of image guided navigation in laparoscopic liver surgery – A systematic review

2021 ◽  
pp. 101637
Author(s):  
C. Schneider ◽  
M. Allam ◽  
D. Stoyanov ◽  
D.J. Hawkes ◽  
K. Gurusamy ◽  
...  
Keyword(s):  
Systematic Review ◽  
Liver Surgery ◽  
Laparoscopic Liver Surgery ◽  
Image Guided

The value of laparoscopic liver surgery for solid benign hepatic tumors

2007 ◽  
Vol 22 (1) ◽  
pp. 38-44 ◽  
Author(s):  
Roberto Troisi ◽  
Roberto Montalti ◽  
Peter Smeets ◽  
Jacques Van Huysse ◽  
Hans Van Vlierberghe ◽  
...  
Keyword(s):  
Liver Surgery ◽  
Hepatic Tumors ◽  
Laparoscopic Liver Surgery

scholarly journals Operative Time, Age, and Serum Albumin Predict Surgical Morbidity After Laparoscopic Liver Surgery

2021 ◽  
pp. 155335062199122
Author(s):  
Daniel Heise ◽  
Jan Bednarsch ◽  
Andreas Kroh ◽  
Sandra Schipper ◽  
Roman Eickhoff ◽  
...  
Keyword(s):  
Liver Resection ◽  
Liver Surgery ◽  
Postoperative Morbidity ◽  
Operative Time ◽  
Multivariable Analysis ◽  
Operation Time ◽  
Laparoscopic Liver Surgery ◽  
Surgical Morbidity ◽  
Perioperative Morbidity ◽  
Preoperative Albumin

Background. Laparoscopic liver resection (LLR) has emerged as a considerable alternative to conventional liver surgery. However, the increasing complexity of liver resection raises the incidence of postoperative complications. The aim of this study was to identify risk factors for postoperative morbidity in a monocentric cohort of patients undergoing LLR. Methods. All consecutive patients who underwent LLR between 2015 and 2019 at our institution were analyzed for associations between complications with demographics and clinical and operative characteristics by multivariable logistic regression analyses. Results. Our cohort comprised 156 patients who underwent LLR with a mean age of 60.0 ± 14.4 years. General complications and major perioperative morbidity were observed in 19.9% and 9.6% of the patients, respectively. Multivariable analysis identified age>65 years (HR = 2.56; P = .028) and operation time>180 minutes (HR = 4.44; P = .001) as significant predictors of general complications (Clavien ≥1), while albumin<4.3 g/dl (HR = 3.66; P = .033) and also operative time (HR = 23.72; P = .003) were identified as predictors of major postoperative morbidity (Clavien ≥3). Conclusion. Surgical morbidity is based on patient- (age and preoperative albumin) and procedure-related (operative time) characteristics. Careful patient selection is key to improve postoperative outcomes after LLR.

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