Laparoscopic versus open left lateral hepatic sectionectomy: A comparative study

Hilal, Mohammed Abu; McPhail, Mark; Zeidan, Bashar; Zeidan, Shady; Hallam, Marc-James; Armstrong, Thomas; Primrose, John; Pearce, Neil

doi:10.1016/j.ejso.2008.01.018

Cited by 101 publications

(94 citation statements)

References 13 publications

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“…However, in one series, intracorporeal hand assistance was used for all major resections [5], and in another series, a significant number of major resections ([40%) were undertaken with either hand assistance or laparoscopically assisted open procedures [6]. A small number of studies have shown the superiority of the laparoscopic approach for some types of resection [7,8].…”

Section: Introductionmentioning

confidence: 97%

Bleeding and hemostasis in laparoscopic liver surgery

et al. 2009

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The authors' experience with 80 totally laparoscopic liver resections over a 4(1/2)-year period demonstrates that laparoscopic liver surgery is safe and effective in experienced hands for major resections. An intimate knowledge of the technology and techniques available for preventing and managing significant hemorrhage during laparoscopic liver resection is required for all surgeons performing laparoscopic liver surgery.

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Section: Introductionmentioning

confidence: 97%

Bleeding and hemostasis in laparoscopic liver surgery

et al. 2009

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“…In expert hands, the feasibility, safety and efficiency of the laparoscopic approach have been demonstrated when appropriate criteria are applied to patient selection [2,3,4,5,6,7,8,9,10,11]. In a recent review including approximately 2,800 patients, the mortality and morbidity rates were reported to be 0.3 and 10.5%, respectively [1].…”

Section: Introductionmentioning

confidence: 99%

“…There is an increasing wealth of evidence to suggest that the minimally invasive technique offers significant advantages in both benign and malignant diseases (in terms of less pain and analgesic drug consumption, shorter hospital stay, less transfusion requirements, faster recovery, reduced postoperative adhesions and improved cosmetic results) compared to open surgery [5,25,26,27]. Some of these benefits, especially shorter hospital stay and early return to work, appear more appealing in patients with benign disease, who are commonly fit and young.…”

Section: Introductionmentioning

confidence: 99%

Surgical Management of Benign and Indeterminate Hepatic Lesions in the Era of Laparoscopic Liver Surgery

Hilal¹,

Fabio²,

Teng³

et al. 2011

Dig Surg

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Background/Aims: The expansion of the laparoscopic approach for the management of benign liver lesions has raised concerns regarding the risk of widening surgical indications and compromising safety. Large single-centre series focusing on laparoscopic management of benign liver lesions are sporadic. Methods: We reviewed a prospectively collected database of patients undergoing pure laparoscopic liver resection (LLR) for benign liver lesions. All cases were individually discussed at a multidisciplinary team meeting. Results: Forty-six patients underwent 50 LLRs for benign disease. Indications for surgery were: symptomatic lesions, preoperative diagnosis of adenoma or cystadenoma, and lesions with an indeterminate diagnosis. The preoperative diagnosis was uncertain in 11 cases. Of these, histological diagnosis was hepatocellular carcinoma in one (9%) and benign lesion in 10 patients (91%). Thirteen patients (28%) required major hepatectomy. Three patients (7%) developed postoperative complications. Mortality was nil. The median postoperative hospital stay following major and minor hepatectomy was 4 and 3 days, respectively. Conclusion: The laparoscopic approach represents a safe option for the management of benign and indeterminate liver lesions, even when major hepatectomy is required. LLR should be only performed in specialized centres to ensure safety and strict adherence to orthodox surgical indication.

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“…1 and 2, six studies [4][5][6][7][8][9] compared the operative time between the two groups and found that the operative time was 48.07 min (95% CI, 30.93-65.21) shorter in the open group than in the laparoscopic group. This difference was significant (p \ 0.001) and not associated with significant heterogeneity between the studies (p = 0.34).…”

Section: Resultsmentioning

confidence: 99%

“…Five studies were retrospective (Table 1) [4,[6][7][8]10], and in the remaining two studies, the prospective data of laparoscopic group were matched with the retrospective data of the open group [5,9]. Two studies contained resection of only benign lesions [5,6], whereas only one study contained solely malignant lesions [10].…”

Section: Resultsmentioning

confidence: 99%