Laparoscopic Surgery of the Liver and Biliary Tract

Abstract

Laparoscopic treatment of liver and biliary tract disease is growing in popularity but requires extensive experience. Among the lesions now managed with minimally invasive methods are simple cysts, polycystic liver disease, hydatid cysts, biliary stones, and benign solid tumors. Patient selection, surgical techniques, and outcomes are described.

Hand‐assisted versus conventional laparoscopic splenectomy: a systematic review and meta‐analysis

“…Laparoscopic techniques are widely used, with cholecystectomy as one of the most successful applications . The development of laparoscopic equipment has promoted the advances of minimally invasive surgery, from which patients derived the most benefit by avoiding a large and visible scar.…”

Incidental Gallbladder Cancer at Cholecystectomy

“…[4][5][6][7] Classical surgical teaching has been that 1 of every 100 cholecystectomy cases (1%) has undiagnosed GBC, although 10,000 new cases of incidental GBC (iGBC) are not diagnosed each year. 8,9 Despite earlier detection, recent reported rates of iGBC after LC have been estimated to be between 0.2% and 2.1%.…”

Laparoscopic cholecystectomy only could be an appropriate treatment for selected clinical R0 gallbladder carcinoma

“…Since the first laparoscopic cholecystectomy (LC) was performed in 1987, LC has been the ''gold standard'' treatment for benign pathologic conditions of the gallbladder [2]. With the advancement of laparoscopic skill and experience, many surgeons have been expanding the field of indications for laparoscopic surgery.…”