Single versus multiple port laparoscopic left lateral sectionectomy for hepatocellular carcinoma: A retrospective comparative study

Wang, Jun Cheng; Pan, Yangxun; Chen, Jinbin; Hu, Dandan; Tuoheti, Yiminjiang; Zhou, Zhongguo; Xu, Li; Chen, Minshan; Zhang, Yaojun

doi:10.1016/j.ijsu.2020.03.003

Cited by 5 publications

(15 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The aim of underlying study was to evaluate the results of single Slovenian centre performing SPLH, the method that can, in our opinion, be safely used for the treatment of benign and malignant liver lesions in selected patients. Some retrospective studies, comparing single-port versus multiport laparoscopic hepatectomy (MPLH), have already been performed [18][19][20]22]. The number of the included patients undergoing SPLH was generally small, ranging from just a few patients to 155 patients [18][19][20][21][22].…”

Section: Discussionmentioning

confidence: 99%

“…With the progress of technology, surgical technique and skills, laparoscopic and robotic liver surgery have, in the recent years, become safe and effective modality for the treatment of both benign and malignant liver disease [4]. With the further progression of the minimally invasive surgery, the aim is to minimize the number and size of the abdominal incisions, therefore single-port laparoscopic hepatectomy (SPLH) has been arising as a new surgical method for the treatment of liver disease with the promising results from the published reports [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Single-port laparoscopic hepatectomy: Slovenian single center experience

Trotovšek

Đokić

2022

Preprint

View full text Add to dashboard Cite

Background: Single-port laparoscopic hepatectomy is a minimally invasive modality for the treatment of the benign and malignant liver lesions. Due to the methods technical challenges it is suitable for experienced hepatobilliary surgeons in selected group of patients. The aim of this study was to evaluate the results of a single Slovenian centre performing single-port laparoscopic hepatectomy with literature overview.Methods: A single centre retrospective consecutive case series of the thirteen patients with liver disease operated with the single-port technique form January 2018 to April 2022 at the Department of the Abdominal Surgery in the University Medical Centre Ljubljana was performed. Lesions were located in the easy to treat segments. The operative time, conversion rate, length of the hospital stay and surgical complications were recorded and evaluated.Results: We performed thirteen single-port liver hepatectomies (median age 60, range 31 to 79 years). Mean operative time was 98 ± 37 min. None of the cases was converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in case of malignant disease. The mean hospital stay was 4 days. Post-operative complication involving intervention was 7% (1/13). No life-threatening surgical complication or morbidity were noted.Conclusions: The single-port laparoscopic hepatectomy is a safe and feasible technique for the operation of benign and malignant liver lesions in hands of skilled and well trained surgeons.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Single-port laparoscopic hepatectomy: Slovenian single center experience

Trotovšek

Đokić

2022

Preprint

View full text Add to dashboard Cite

show abstract

“…This study shows that our standardized RPLLLS technique is safe and as feasible as conventional LLLS. Moreover, the standardized RPLLLS technique's surgical results, such as blood loss and morbidity rate, are not inferior; for single-port LLLS [27]. Other studies did not report the percentage of a history of previous abdominal surgery [21,22,26].…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, the standardized RPLLLS technique’s surgical results, such as blood loss and morbidity rate, are not inferior; rather, they are preferable to those cited in previous reports on single-port LLLS [ 11 , 21 , 24 , 25 ]. However, operative time was relatively long compared to some single-incision LLLS studies [ 21 , 22 , 26 , 27 ]. Two factors may explain the relatively long operation times in the present study.…”

Section: Discussionmentioning

confidence: 99%

“…Second, the percentage of a history of previous abdominal surgery was high: 56.8% for the conventional LLLS group and 91.7% for the RPLLLS group. Only one study reported the percentage of a history of previous abdominal surgery, and it was significantly lower: 12.8% for conventional LLLS and 18.2% for single-port LLLS [ 27 ]. Other studies did not report the percentage of a history of previous abdominal surgery [ 21 , 22 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Standardized single-incision plus one-port laparoscopic left lateral sectionectomy: a safe alternative to the conventional procedure

Katagiri

Nitta

Takahara

et al. 2021

Langenbecks Arch Surg

View full text Add to dashboard Cite

Purpose Laparoscopic left lateral sectionectomy (LLLS) is a feasible and safe procedure with a relatively smooth learning curve. However, single-incision LLLS requires extensive surgical experience and advanced techniques. The aim of this study is to report the standardized single-incision plus one-port LLLS (reduced port LLLS, RPLLLS) technique and evaluate its safety, feasibility, and effectiveness for junior surgeons. Methods Between January 2008 and November 2020, the clinical records of 49 patients who underwent LLLS, divided into the conventional LLLS (n = 37) and the RPLLLS group (n = 12), were retrospectively reviewed. The patient characteristics, pathologic results, and operative outcomes were evaluated. Results A history of previous abdominal surgery in the RPLLLS group was significantly high (56.8% vs. 91.7%, p = 0.552). Notably, junior surgeons performed 62.2% of the conventional LLLSs and 58.4% of the standardized RPLLLSs. There were no significant differences between the two groups in terms of median operative time (121.0 vs. 113.5, p = 0.387), median blood loss (13.0 vs. 8.5, p = 0.518), median length of hospital stays (7.0 vs. 7.0, p = 0.408), and morbidity rate (2.7% vs. 0%, p = 0.565), respectively. Conclusion This standardized RPLLLS is a feasible and safe alternative to conventional LLLS and may become the ideal training procedure for both junior surgeons and surgeons aiming to learn more complex procedures.

show abstract