Pure Laparoscopic Liver Resection for Large Malignant Tumors: Does Size Matter?

2014 ◽  
Vol 22 (4) ◽  
pp. 1288-1293 ◽  
Author(s):  
Vishal G. Shelat ◽  
Federica Cipriani ◽  
Tiago Basseres ◽  
Thomas H. Armstrong ◽  
Arjun S. Takhar ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Malignant Tumors ◽  
Size Matter

scholarly journals Erratum to: Pure Laparoscopic Liver Resection for Large Malignant Tumors: Does Size Matter?

2014 ◽  
Vol 22 (S3) ◽  
pp. 1601-1601 ◽  
Author(s):  
Vishal G. Shelat ◽  
Federica Cipriani ◽  
Tiago Basseres ◽  
Thomas H. Armstrong ◽  
Arjun S. Takhar ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Malignant Tumors ◽  
Size Matter

scholarly journals Robotic and laparoscopic liver resection—comparative experiences at a high-volume German academic center

2021 ◽  
Author(s):  
E. Lorenz ◽  
J. Arend ◽  
M. Franz ◽  
M. Rahimli ◽  
A. Perrakis ◽  
...  
Keyword(s):  
Liver Resection ◽  
Minimally Invasive ◽  
Liver Surgery ◽  
Laparoscopic Liver Resection ◽  
Malignant Tumors ◽  
Statistical Significance ◽  
R0 Resection ◽  
Tumor Diameter ◽  
Safe Procedure ◽  
Minimally Invasive Liver Surgery

Abstract Purpose Minimally invasive liver surgery (MILS) is a feasible and safe procedure for benign and malignant tumors. There has been an ongoing debate on whether conventional laparoscopic liver resection (LLR) or robotic liver resection (RLR) is superior and if one approach should be favored over the other. We started using LLR in 2010, and introduced RLR in 2013. In the present paper, we report on our experiences with these two techniques as early adopters in Germany. Methods The data of patients who underwent MILS between 2010 and 2020 were collected prospectively in the Magdeburg Registry for Minimally Invasive Liver Surgery (MD-MILS). A retrospective analysis was performed regarding patient demographics, tumor characteristics, and perioperative parameters. Results We identified 155 patients fulfilling the inclusion criteria. Of these, 111 (71.6%) underwent LLR and 44 (29.4%) received RLR. After excluding cystic lesions, 113 cases were used for the analysis of perioperative parameters. Resected specimens were significantly bigger in the RLR vs. the LLR group (405 g vs. 169 g, p = 0.002); in addition, the tumor diameter was significantly larger in the RLR vs. the LLR group (5.6 cm vs. 3.7 cm, p = 0.001). Hence, the amount of major liver resections (three or more segments) was significantly higher in the RLR vs. the LLR group (39.0% vs. 16.7%, p = 0.005). The mean operative time was significantly longer in the RLR vs. the LLR group (331 min vs. 181 min, p = 0.0001). The postoperative hospital stay was significantly longer in the RLR vs. the LLR group (13.4 vs. LLR 8.7 days, p = 0.03). The R0 resection rate for solid tumors was higher in the RLR vs. the LLR group but without statistical significance (93.8% vs. 87.9%, p = 0.48). The postoperative morbidity ≥ Clavien-Dindo grade 3 was 5.6% in the LLR vs. 17.1% in the RLR group (p = 0.1). No patient died in the RLR but two patients (2.8%) died in the LLR group, 30 and 90 days after surgery (p = 0.53). Conclusion Minimally invasive liver surgery is safe and feasible. Robotic and laparoscopic liver surgery shows similar and adequate perioperative oncological results for selected patients. RLR might be advantageous for more advanced and technically challenging procedures.

Evaluation of the Iwate Model for Predicting the Difficulty of Laparoscopic Liver Resection: Does Tumor Size Matter?

2020 ◽  
Author(s):  
Arpad Ivanecz ◽  
Irena Plahuta ◽  
Tomislav Magdalenić ◽  
Bojan Ilijevec ◽  
Matej Mencinger ◽  
...  
Keyword(s):  
Liver Resection ◽  
Tumor Size ◽  
Laparoscopic Liver Resection ◽  
Size Matter

Laparoscopic Liver Resection: A 7-Year Experience of 123 Resections in a Single Institution

2020 ◽  
Vol 86 (10) ◽  
pp. 1330-1336
Author(s):  
Hoi Y. Annie Lo ◽  
Stephanie Young ◽  
Louis Andrew DiFronzo
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Readmission Rate ◽  
Postoperative Morbidity ◽  
Malignant Tumors ◽  
Wedge Resection ◽  
Tertiary Care ◽  
Day Surgery ◽  
Care Hospital ◽  
Estimated Blood Loss

There has been a significant increase in the use of laparoscopic liver resection (LLR) over the past 2 decades. This study aimed to analyze the outcomes associated with LLR at a single tertiary care hospital. Patients with benign or malignant tumors who underwent LLR by a single surgeon from January 2012 to November 2019 were identified. There were 123 patients who underwent LLR in the study period; 52% were men, and the median age was 61 (24-90) years. Five patients (4.1%) had unplanned conversion to open resection. Ninety-five patients (77.2%) had a wedge resection or single segmentectomy, and 28 (22.8%) underwent resection of 2+ liver segments. Seventy-one cases (57.7%) were for hepatocellular carcinoma (HCC), 24 (19.5%) for colorectal metastasis, and 28 (22.8%) were for other benign and malignant tumors. Median operative time was 239 (range 89-526) minutes. Mean estimated blood loss was 192 (range 0-1800) mL. The median length of stay (LOS) overall was 2 (range 0-9) days. From 2017 to 2019, the mean LOS was 1.2 days, compared to a mean LOS of 3.3 days from 2012 to 2016. More cases were performed as same-day surgery from 2017 onward; 19 patients (33.9%) had same-day surgery from 2017 to 2019, in comparison to only 1 patient (1.5%) in the period of 2012-2016 ( P < .0001). Overall, 28 patients (22.8%) experienced postoperative morbidity; major postoperative morbidity occurred in 4 patients (3.3%). The 90-day mortality was .8%, and the 30-day readmission rate was 5.7%. In conclusion, LLR can be performed safely to treat liver tumors, and LOS decreased over time. Although overall morbidity is moderate, serious morbidity is low, as was the readmission rate. Laparoscopic wedge resection may be a feasible option as an outpatient procedure in select patients.

scholarly journals Invention of Two Instruments Fitted with SECUREA™ Useful for Laparoscopic Liver Resection

2016 ◽  
Vol 83 (3) ◽  
pp. 107-112 ◽  
Author(s):  
Youichi Kawano ◽  
Nobuhiko Taniai ◽  
Yoshiharu Nakamura ◽  
Satoshi Matsumoto ◽  
Masato Yoshioka ◽  
...  
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection

scholarly journals Does Laparoscopic Liver Resection for Hepatocellular Carcinoma Reduce Posthepatectomy Liver Failure?

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S159
Author(s):  
Y. Uemoto ◽  
K. Taura ◽  
T. Nishio ◽  
Y. Kimura ◽  
N. Nam ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Liver Failure ◽  
Laparoscopic Liver Resection ◽  
Posthepatectomy Liver Failure

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.

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