scholarly journals How to minimize conversion to open surgery during laparoscopic liver resection: the point of view of hemostasis

2021 ◽  
Vol 24 (4) ◽  
pp. 182-183
Author(s):  
Seunghwan Lee
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Open Surgery ◽  
Point Of View ◽  
Conversion To Open Surgery

scholarly journals Initial Experience in Single-Incision Transumbilical Laparoscopic Liver Resection: Indications, Potential Benefits, and Limitations

HPB Surgery ◽  
2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Giovanni Dapri ◽  
Livia DiMarco ◽  
Guy-Bernard Cadière ◽  
Vincent Donckier
Keyword(s):  
Liver Resection ◽  
Laparoscopic Liver Resection ◽  
Single Incision ◽  
Wedge Resection ◽  
Late Complications ◽  
Conversion To Open Surgery ◽  
Single Incision Laparoscopy ◽  
Limited Series ◽  
Potential Benefits ◽  
Umbilical Scar

Background. Single-incision transumbilical laparoscopic liver resection (SITLLR) has been recently described in limited series. We report our experience in SITLLR and discuss the future of this approach in terms of indications, potential benefits, and limitations, with a special reference to laparoscopic liver resection (LLR). Patients and Methods. Six patients underwent SITLLR. Indications were biliary cysts (3 cases), hydatid cysts (2), and colorectal liver metastasis (1). Procedures consisted in cysts unroofing, left lateral lobectomy, pericystectomy, and wedge resection. SITLLR was performed with 11 mm reusable trocar, 10 or 5 mm 30° scopes, 10 mm ultrasound probe, curved reusable instruments, and straight disposable bipolar shears. Results. Neither conversion to open surgery nor insertion of supplementary trocars was necessary. Median laparoscopic time was 105.5 minutes and median blood loss 275 mL. Median final umbilical scar length was 1.5 cm, and median length of stay was 4 days. No early or late complications occurred. Conclusion. SITLLR remains a challenging procedure. It is feasible in highly selected patients, requiring experience in hepatobiliary and laparoscopic surgery and skills in single-incision laparoscopy. Apart from cosmetic benefit, our experience and literature review did not show significant advantages if compared with multiport LLR, underlying that specific indications remain to be established.

scholarly journals TACE prior to laparoscopic liver resection of hepatocarcinoma on cirrhotic liver. Propensity score matching with open surgery

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S653
Author(s):  
P.J. Gil Vázquez ◽  
R. Robles Campos ◽  
R. Brusadin ◽  
A. López Conesa ◽  
V. López López ◽  
...  
Keyword(s):  
Liver Resection ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Laparoscopic Liver Resection ◽  
Open Surgery ◽  
Cirrhotic Liver

scholarly journals TACE prior to laparoscopic liver resection of hepatocarcinoma on cirrhotic liver. Propensity score matching with open surgery

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S798
Author(s):  
P.J. Gil Vázquez ◽  
R. Robles Campos ◽  
R. Brusadin ◽  
A. López Conesa ◽  
V. López López ◽  
...  
Keyword(s):  
Liver Resection ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Laparoscopic Liver Resection ◽  
Open Surgery ◽  
Cirrhotic Liver

scholarly journals Improved length of stay after laparoscopic liver resection versus open surgery in patients with colorectal cancer

HPB ◽  
2016 ◽  
Vol 18 ◽  
pp. e710
Author(s):  
C.H. Petersen ◽  
P.N. Larsen ◽  
J. Storkholm ◽  
N.A. Schultz ◽  
K.H. Jensen
Keyword(s):  
Colorectal Cancer ◽  
Liver Resection ◽  
Length Of Stay ◽  
Laparoscopic Liver Resection ◽  
Open Surgery

FACTORS INFLUENCING THE OPERATION TECHNIQUE OF PEFORATED DUODENAL ULCER REPAIR BY SINGLEPORT LAPAROSCOPIC SURGERY

2016 ◽  
pp. 99-105
Author(s):  
Huu Tri Nguyen ◽  
Loc Le ◽  
Doàn Van Phu Nguyen ◽  
Nhu Thanh Dang ◽  
Thanh Phuc Nguyen
Keyword(s):  
Duodenal Ulcer ◽  
Laparoscopic Surgery ◽  
Correlation Coefficient ◽  
Open Surgery ◽  
Operative Time ◽  
Single Port ◽  
Time Correlation ◽  
Patch Repair ◽  
Perforated Duodenal Ulcer ◽  
Conversion To Open Surgery

Background: Single-port laparoscopic surgery (SPLS) is increasingly used in surgery and in the treatment of perforated duodenal ulcer. The aim of this study was to evaluate technical factors for perforated duodenal ulcer repair by SPLS. Methods: A prospective study on 42 consecutive patients diagnosed with perforated duodenal ulcer and treated with SPLS at Hue university of medicine and pharmacy hospital and Hue central hospital from January 2012 to February 2015. Results: The mean age was 48.1 ± 14.2 (17 - 79) years. 40 patients were treated with suture of the perforation by pure SPLS. There was one case (2.4%) in which one additional trocar was required. Conversion to open surgery was necessary in one patient (2.4%) in which the perforation was situated on the posterior duodenal wall. Two patients (4.8%) with history of abdominal surgery were successfully treated by pure SPLS. The size of perforation was correlated with suturing time (correlation coefficient r = 0.459) and operative time (correlation coefficient r = 0.528). Considering suture type, X stitches were used in 95.5% cases, simple stitches were used in one case (2.4%) while Graham patch repair technique was utilized in one case (2.4%) with large perforation. Most cases (95.1%) required only simple suture without omental patch. Peritoneal drainage was spared in most cases (90.2%). Conclusions: SPLS is a safe method for the treatment of perforated duodenal ulcer. Posterior duodenal location is the main cause of conversion to open surgery. Factor related to operative time is perforation size. Key words: perforated duodenal ulcer, single port laparoscopic repair, single port laparoscopy

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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