scholarly journals Appraisal of Laparoscopic Liver Resection in the Treatment of Liver Metastasis with Special Reference to Outcome in Colorectal Malignancies

2013 ◽  
Vol 76 (5) ◽  
pp. 392-401
Author(s):  
Priya Hazrah ◽  
Deborshi Sharma ◽  
Saurabh Borgharia ◽  
Pawan Kumar ◽  
Romesh Lal
Keyword(s):  
Liver Resection ◽  
Liver Metastasis ◽  
Special Reference ◽  
Laparoscopic Liver Resection

scholarly journals A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection

2021 ◽  
Author(s):  
Keisuke Oyama ◽  
Shin Nakahira ◽  
Sakae Maeda ◽  
Akihiro Kitagawa ◽  
Yuki Ushimaru ◽  
...  
Keyword(s):  
Rectal Cancer ◽  
Liver Resection ◽  
Liver Metastasis ◽  
Laparoscopic Liver Resection ◽  
Liver Tumors ◽  
Simple Procedure ◽  
Laparoscopic Hepatectomy ◽  
Pleural Space ◽  
Absorbable Suture ◽  
Surgical Field

AbstractDiaphragmatic resection may be required beneath the diaphragm in some patients with liver tumors. Laparoscopic diaphragmatic resection is technically difficult to secure in the surgical field and in suturing. We report a case of successful laparoscopic hepatectomy with diaphragmatic resection. A 48-year-old man who underwent laparoscopic partial hepatectomy for liver metastasis of rectal cancer 20 months ago underwent surgery because of a new hepatic lesion that invaded the diaphragm. The patient was placed in the left hemilateral decubitus position. The liver and diaphragm attachment areas were encircled using hanging tape. Liver resection preceded diaphragmatic resection with the hanging tape in place. Two snake retractors were used to secure the surgical field for the inflow of CO2 into the pleural space after diaphragmatic resection. The defective part of the diaphragm was repaired using continuous or interrupted sutures. Both ends of the suture were tied with an absorbable suture clip without ligation. In laparoscopic liver resection with diaphragmatic resection, the range of diaphragmatic resection can be minimized by performing liver resection using the hanging method before diaphragmatic resection. The surgical field can be secured using snake retractors. Suturing with an absorbable suture clip is conveniently feasible.

Two-stage laparoscopic liver resection for bilateral colorectal liver metastasis

2010 ◽  
Vol 24 (8) ◽  
pp. 2044-2047 ◽  
Author(s):  
M. A. Machado ◽  
F. F. Makdissi ◽  
R. C. Surjan ◽  
G. T. Kappaz ◽  
N. Yamaguchi
Keyword(s):  
Liver Resection ◽  
Liver Metastasis ◽  
Colorectal Liver Metastasis ◽  
Laparoscopic Liver Resection ◽  
Two Stage

Laparoscopic liver resection in segment 7: Hepatic vein first approach with special reference to sufficient resection margin

2019 ◽  
Vol 30 ◽  
pp. 87-89 ◽  
Author(s):  
Boram Lee ◽  
Jai Young Cho ◽  
YoungRok Choi ◽  
Yoo-Seok Yoon ◽  
Ho-Seong Han
Keyword(s):  
Liver Resection ◽  
Special Reference ◽  
Hepatic Vein ◽  
Laparoscopic Liver Resection ◽  
Resection Margin

scholarly journals Laparoscopic Liver Resection in Segment 7: Hepatic vein first approach with special reference to sufficient resection margin

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S212
Author(s):  
Boram Lee ◽  
Jai Young Cho ◽  
YoungRok Choi ◽  
Yoo-Seok Yoon ◽  
Ho-Seong Han
Keyword(s):  
Liver Resection ◽  
Special Reference ◽  
Hepatic Vein ◽  
Laparoscopic Liver Resection ◽  
Resection Margin

scholarly journals The smallest colorectal liver metastasis size as a prognosis factor after laparoscopic liver resection

2019 ◽  
Vol 30 ◽  
pp. v213
Author(s):  
B. Cervantes ◽  
B. Gayet ◽  
F. Frosio ◽  
N. Tabchouri ◽  
M. Bennamoun ◽  
...  
Keyword(s):  
Liver Resection ◽  
Liver Metastasis ◽  
Colorectal Liver Metastasis ◽  
Laparoscopic Liver Resection ◽  
Prognosis Factor

scholarly journals O-L01 Learning curve for laparoscopic liver resection: does it affect survival in colorectal liver metastasis?

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Hiba Shanti ◽  
Rakesh Raman ◽  
Saurav Chakravartty ◽  
Ajay P. Belgaumkar ◽  
Ameet G. Patel
Keyword(s):  
Liver Resection ◽  
Liver Metastasis ◽  
Blood Loss ◽  
Learning Curve ◽  
Colorectal Liver Metastasis ◽  
Laparoscopic Liver Resection ◽  
R0 Resection ◽  
Recurrence Free Survival ◽  
Term Survival ◽  
Free Survival

Abstract Background After Gagner introduced laparoscopic liver resection (LLR) in 1992, it was not until 2004 that the first series with more than ten laparoscopic major liver resections was reported. Furthermore, a multicentre study by Allard et al., in 2015 revealed that laparoscopy was only used in 176 (6.7%) patients out of a total of 2620 patients treated for colorectal liver metastasis (CRLM). This lag time in the establishment of LLR was attributed to the steep learning curve (LC) due to technical complexity and caution about oncological safety. The aim of this study is to assess if the learning curve of LLR has affected survival of patients with CRLM. Methods All consecutive LLR performed by a single surgeon between 2000–2019 were retrospectively analysed. RA-CUSUM for conversion rate and the log regression analysis of the blood loss were used to identify two phases in the learning curve. LC was then applied to CRLM patients and the two subgroups were compared for oncological and survival outcomes. The analysis was repeated with propensity score-matched (PSM) groups Results A total of 286 patients were included in the learning curve analysis. Combining the results from the RA-CUSUM and the blood loss log curve identified two distinct phases in the learning curve. The early phase (EP, n = 68) represented the initial learning experience, and the late phase (LP, n = 218) represented increased competence and the introduction of more challenging cases. The LC was applied to 192 patients with colorectal liver metastasis (EPc n = 45, LPc n = 147). R0 resection was achieved in 93%; 100% in EPc and 90% in LPc (P = .02). The cohort median overall survival (OS) and was 60 months. The median recurrence-free survival (RFS) was 16 months. The 5- year OS and RFS were 51% and 33%, respectively. The overall and recurrence-free survival rates were not compromised by the learning curve; OS (HR: 0.78, 95% CI 0.51-1.2, p = .26), RFS (HR: 0.94, 95 % CI 0.64-1.37, p=.76). Results were replicated after PSM. Conclusions In our experience, the development of a laparoscopic liver resection program can be achieved without adverse effect on the long-term survival in CRLM.

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