Techniques for performing laparoscopic liver resection in various hepatic locations

被引:71
作者
Han, Ho-Seong [1 ,2 ]
Cho, Jai Young [2 ]
Yoon, Yoo-Seok [2 ]
机构
[1] Seoul Natl Univ, Bundang Hosp, Dept Surg, Songnam 463707, Gyeonggi Do, South Korea
[2] Seoul Natl Univ, Coll Med, Dept Surg, Seoul, South Korea
来源
JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY | 2009年 / 16卷 / 04期
关键词
Laparoscopy; Hepatectomy; Hepatocellular carcinoma; Technique; Outcome; POSTEROSUPERIOR SEGMENTS; PARTIAL-HEPATECTOMY; TUMORS; SECTIONECTOMY; FEASIBILITY;
D O I
10.1007/s00534-009-0118-2
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Many studies have recently reported on laparoscopic liver resection, although its development has been slow compared to laparoscopy in other fields. The indications for the location of laparoscopic liver resection have previously been limited to easily accessible lesions. Performing laparoscopic liver resection in the posterior and superior parts of the liver has been considered difficult due to inadequate exposure, the poor operative field and the difficulty with parenchymal dissection. Flexible endoscopy, high definition imaging and various kinds of equipment for parenchymal transection have been introduced for clinical use. In addition, much experience with this procedure has been accumulated at many centers. Accordingly, there are an increasing number of reports on laparoscopic liver resection in difficult locations. At our institution, the location of the tumor is no longer a limitation to laparoscopic liver resection. However, for safer laparoscopic liver resection, the patient positioning and trocar placement should be individualized according to the tumor location. The type of resection also may depend on the remaining liver's functional capacity. We describe here the technical considerations for performing laparoscopic liver resection, including the technical considerations for performing laparoscopic liver resection for lesions located in the postero-superior segments of the liver.
引用
收藏
页码:427 / 432
页数:6
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