Laparoscopic versus open right hepatectomy: a comparative study

Dagher, Ibrahim; Giuro, Giuseppe Di; Dubrez, J; Laïnas, Panagiotis; Smadja, Claude; Franco, Dominique

doi:10.1016/j.amjsurg.2008.09.015

Cited by 183 publications

(136 citation statements)

References 19 publications

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“…In 2009, a multicenter international study by Dagher et al [10] of 210 major liver resections using laparoscopy, demonstrated that laparoscopic major hepatectomies are feasible in selected patients, when performed by experienced surgeons. It has also been demonstrated that, when laparoscopy is employed for major resections, there is a benefit in terms of blood loss, general morbidity and length of hospital stay [6]. However, it is evident that major resections represent a rather small percentage of all laparoscopic hepatectomies, remain challenging and demand both laparoscopic and hepatic surgery expertise.…”

Section: Discussionmentioning

confidence: 99%

“…This sudden proliferation concerns mainly minor hepatectomies (resection of less than 3 segments), and, until recently, only sporadic reports of major laparoscopic liver resections existed [3,4,6,9,[12][13][14]. In 2009, a multicenter international study by Dagher et al [10] of 210 major liver resections using laparoscopy, demonstrated that laparoscopic major hepatectomies are feasible in selected patients, when performed by experienced surgeons.…”

Section: Discussionmentioning

confidence: 99%

“…This can be attributed to the complexity of the procedures and fear of uncontrolled hemorrhage, combined with high-level technical demands and lack of training opportunities for most surgeons. However, progress in technology and better understanding of hepatic and minimally invasive surgery have resulted in some reports of medium-sized series of major laparoscopic hepatectomies with encouraging results [6,8,9].…”

Section: Introductionmentioning

confidence: 99%

“…European experience, which started in the mid-1990s with the first cohort of patients published in 2000 [5], has made important steps forward and even demonstrated the benefits of laparoscopy in major resections [6].…”

Section: Introductionmentioning

confidence: 99%

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European experience of laparoscopic major hepatectomy

Tzanis

Shivathirthan

Laurent

et al. 2012

J Hepato Biliary Pancreat

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Background/purpose Laparoscopic hepatectomies have seen a worldwide proliferation. Major anatomic resections, which were initially considered unsuitable for laparoscopy, are currently confined to a few centers of expertise. The aim of this study was to discuss the current trends and techniques in laparoscopic major hepatectomy in Europe. Methods The prospective databases of ten European centers were combined to provide answers to a questionnaire that had been addressed to all European teams known to perform laparoscopic liver surgery. Results Between 1996 and 2011 a total of 2245 laparoscopic liver resections have been carried out, of which 495 (22 %) were major resections. The proportion of laparoscopic right and left hepatectomies varied between 4 and 40 % of all major hepatectomies of the same type. Benign, primary malignant and metastatic lesions were, respectively, 22.4, 19.6 and 58 % of all indications. The different techniques and approaches, as regards hand assistance, hepatic inflow and outflow control, liver mobilization and concomitant colectomies, are discussed. Conclusions To date, an important level of experience of laparoscopic liver resection has been accumulated in Europe, and experience of major hepatectomies is constantly increasing. However, they remain technically very demanding procedures which should be confined to expert surgeons who have already acquired considerable experience with simpler laparoscopic liver resections.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

European experience of laparoscopic major hepatectomy

Tzanis

Shivathirthan

Laurent

et al. 2012

J Hepato Biliary Pancreat

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“…The clinical application of laparoscopic right hepatectomy (LRH) is also on the increase (Dagher et al, 2009;Han et al, 2010;Lainas et al, 2015). However, LRH still remains a challenging procedure owing to the technical difficulty (Pearce et al, 2011;Tzanis et al, 2013) of resecting the deepest and largest portion of the liver.…”

Section: Introductionmentioning

confidence: 99%

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

Cai

Wei

et al. 2016

J. Zhejiang Univ. Sci. B

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Abstract:Objective: The liver hanging maneuver (LHM) is rarely applied in laparoscopic right hepatectomy (LRH) because of the difficulty encountered in retrohepatic tunnel (RT) dissection and tape positioning. Thus far no report has detailed how to quickly and easily establish RT for laparoscopic LHM in LRH, nor has employment of the Goldfinger dissector to create a total RT been reported. This study's aim was to evaluate the safety and feasibility of establishing RT for laparoscopic LHM using the Goldfinger dissector in LRH. Methods: Between March 2015 and July 2015, five consecutive patients underwent LRH via the caudal approach with laparoscopic LHM. A five-step strategy using the Goldfinger dissector to establish RT for laparoscopic LHM was adopted. Perioperative data were analyzed. Results: The median age of patients was 58 (range, 51-65) years. Surgery was performed for one intrahepatic lithiasis and four hepatocellular carcinomas with a median size of 90 (40-150) mm. The median operative time was 320 (282-358) min with a median blood loss of 200 (200-600) ml. Laparoscopic LHM was achieved in a median of 31 (21-62) min, and the median postoperative hospital stay was 14 (9-16) d. No transfusion or conversion was required, and no severe liver-related morbidity or death was observed. Conclusions: The Goldfinger dissector is a useful instrument for the establishment of RT. A five-step strategy using the Goldfinger dissector can quickly and easily facilitate an RT for a laparoscopic LHM in LRH.

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Comparative Benefits of Laparoscopic vs Open Hepatic Resection

Nguyen

Marsh²,

Tsung³

et al. 2011

Arch Surg

339

197

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Based on review of the literature and our institutional series, minimally invasive hepatic resection for benign and malignant liver lesions is safe and feasible with significant benefits for patients consisting of less blood loss, less narcotic requirements, and shorter length of hospital stay. There are no economic disadvantages to the laparoscopic approach, and case-cohort matched studies show no difference in oncologic outcomes between the laparoscopic and open groups.

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Laparoscopic versus open right hepatectomy: a comparative study

Cited by 183 publications

References 19 publications

European experience of laparoscopic major hepatectomy

European experience of laparoscopic major hepatectomy

Can retrohepatic tunnel be quickly and easily established for laparoscopic liver hanging maneuver by Goldfinger dissector in laparoscopic right hepatectomy?

Comparative Benefits of Laparoscopic vs Open Hepatic Resection

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