Laparoscopic liver resection: a systematic review
- 4 June 2009
- journal article
- review article
- Published by Springer Nature in Journal of Hepato-Biliary-Pancreatic Surgery
- Vol. 16 (4), 410-421
- https://doi.org/10.1007/s00534-009-0120-8
Abstract
Outcomes of laparoscopic liver resection (LLR) are not clarified. The objective of this article is to depict the state of the art of LLR by means of a systematic review of the literature. Studies about LLR published before September 2008 were identified and their results summarized. Indications for laparoscopic hepatectomy do not differ from those for open surgery. Technical feasibility is the only limiting factor. Bleeding is the major intraoperative concern, but, if managed by an expert surgeon, do not worsen outcomes. Hand assistance can be useful in selected cases to avoid conversion. Patient selection must take both tumor location and size into consideration. Potentially good candidates are patients with peripheral lesions requiring limited hepatectomy or left lateral sectionectomy; their outcomes, including reduced blood loss, morbidity, and hospital stay, are better than those of their laparotomic counterparts. The same advantages have been observed in cirrhotics. Laparoscopic major hepatectomies and resections of postero-superior segments need further evaluation. The results of LLR in cancer patients seem to be similar to those obtained with the laparotomic approach, especially in cases of hepatocellular carcinoma, but further analysis is required. Laparoscopic liver resection is safe and feasible. The laparoscopic approach can be recommended for peripheral lesions requiring limited hepatectomy or left lateral sectionectomy. Preliminary oncological results suggest non-inferiority of laparoscopic to laparotomic procedures.Keywords
This publication has 81 references indexed in Scilit:
- Laparoscopic Liver Resection—Understanding its Role in Current PracticeAnnals of Surgery, 2009
- Laparoscopic versus open left lateral hepatic sectionectomy: A comparative studyEuropean Journal of Surgical Oncology, 2008
- Lessons from Laparoscopic Liver Surgery: A Nine-Year Case SeriesHPB Surgery, 2008
- Laparoscopic Right Hepatectomy: Original Technique and ResultsJournal of the American College of Surgeons, 2008
- Evaluation of 300 Minimally Invasive Liver Resections at a Single InstitutionAnnals of Surgery, 2007
- Laparoscopic Left Lateral Sectionectomy in Living DonorsAnnals of Surgery, 2006
- Laparoscopic resection of hepatic colorectal metastasesHPB, 2004
- Laparoscopic liver resections for hepatocellular carcinoma (HCC) in cirrhotic patientsHPB, 2004
- Laparoscopic liver resectionBritish Journal of Surgery, 2003
- Laparoscopy extends the indications for liver resection in patients with cirrhosisBritish Journal of Surgery, 1999