scholarly journals Single-Incision Laparoscopic Liver Resection for Colorectal Metastasis through Stoma Site at Time of Reversal of Diversion Ileostomy: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3 ◽  
Author(s):  
Bård I. Røsok ◽  
Bjørn Edwin

Minimally invasive surgical techniques for liver tumors are gaining increased acceptance as an alternative to traditional resections by laparotomy. In this article we describe a laparoscopic liver resection of a metastatic lesion in a patient primarily operated for colorectal cancer. The resection was conducted as a single port procedure through the stoma aperture at time of reversal of the diversion ileostomy. Sigle incision liver resections may be less traumatic than conventional laparoscopy and could be applied in selected patients with both benign and malignant liver tumors.

2002 ◽  
Vol 236 (1) ◽  
pp. 90-97 ◽  
Author(s):  
Jean-François Gigot ◽  
David Glineur ◽  
Juan Santiago Azagra ◽  
Martine Goergen ◽  
Marc Ceuterick ◽  
...  

2012 ◽  
Vol 83 (1) ◽  
pp. 30 ◽  
Author(s):  
Ik Soo Kwon ◽  
Sung Su Yun ◽  
Dong Shick Lee ◽  
Hong Jin Kim

2015 ◽  
Vol 113 (2) ◽  
pp. 127-129 ◽  
Author(s):  
Muhammet Akyuz ◽  
Pinar Yazici ◽  
Hakan Yigitbas ◽  
Cem Dural ◽  
Alexis Okoh ◽  
...  

2020 ◽  
pp. 87-91
Author(s):  
K. L. Murashko ◽  
V. A. Kudrashou ◽  
A. M. Yurkovskiy

Objective: to perform a comparative analysis of postoperative complications and hospital stay terms of in-patients with malignant liver tumors after atypical liver resection and locoregional radiofrequency ablation of liver metastases.Material and methods. We analyzed the data of 295 patients with malignant liver tumors who had undergone surgical resection or radiofrequency ablation of tumor nodes.Results. We have systemized the direct results of locoregional radiofrequency ablation under sonographic control and liver resection. 45 patients (17.8 %) after liver resection and 1 (2.3 %) patient after radiofrequency ablation developed grade III–IV complications according to the Clavien-Dindo classification. The frequency of complications is statistically significantly lower after radiofrequency ablation. The duration of hospital stay after radiofrequency ablation therapy was 4.5 ± 2.5 days. After surgical liver resection, patients stayed in hospital for 10.7 ± 2.3 days.Conclusion. Locoregional therapy provides a statistically significant reduction in the incidence of complications and reduces the duration of hospital stay compared to liver surgery.


2014 ◽  
Vol 29 (6) ◽  
pp. 1279-1283 ◽  
Author(s):  
Albert C Y Chan ◽  
Ronnie T P Poon ◽  
Tan To Cheung ◽  
Kenneth S H Chok ◽  
Wing Chiu Dai ◽  
...  

2019 ◽  
Vol 7 (5) ◽  
pp. 234-248
Author(s):  
Kohei Harada ◽  
Minoru Nagayama ◽  
Yoshiya Ohashi ◽  
Ayaka Chiba ◽  
Kanako Numasawa ◽  
...  

Author(s):  
Ashraf M. El-Badry ◽  
Ahmed Abdelkahaar Aldardeer

Background: Aging hinders the liver capacity to restitute its volume and function after partial hepatectomy. Concomitant hepatic parenchyma disorders and major resections may increase the susceptibility of elderly patients to worse postoperative outcome.Methods: Prospectively collected medical records of adult patients who underwent elective partial hepatectomy for malignant liver tumors at Sohag University Hospital (June 2014–May 2020) were analyzed. A group of elderly (≥65 years) were compared with a matched control group of non-elderly (<65 years) patients as regards posthepatectomy liver failure (PHLF) and overall complications, including mortality. Markers associated with PHLF and postoperative death were investigated.Results: Forty-eight patients were enrolled, 24 per group. 34 were males (71%). All patients had primary hepatic malignancy or metastatic tumors. Hepatocellular carcinoma (HCC) was the most common indication for liver resection in both groups (32 patients, 66.6%). Elderly patients exhibited significantly higher grades of overall postoperative complications (p<0.05). PHLF was significantly increased in the elderly group, in evident connection with significant persistence of higher bilirubin levels and reduced prothrombin concentration (p<0.05) until 5th postoperative day. Subgroup analysis showed that major resections and cirrhosis correlated with increased morbidity among elderly compared with younger patients. Postoperative mortality occurred in 3 elderly cirrhotic patients, who failed to recover normal platelet count postoperatively.Conclusions: In elderly patients, major liver resection for malignant tumors is associated with worse outcome, particularly in those with coexisting cirrhosis. Predictors include early postoperative thrombocytopenia and persistent hyperbilirubinemia and coagulopathy.


Author(s):  
Keisuke Oyama ◽  
Shin Nakahira ◽  
Sakae Maeda ◽  
Akihiro Kitagawa ◽  
Yuki Ushimaru ◽  
...  

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.


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