Hand-assisted laparoscopic liver resection: Lessons from an initial experience Journal Article
| Authors: | Fong, Y.; Jarnagin, W.; Conlon, K. C.; DeMatteo, R.; Dougherty, E.; Blumgart, L. H. |
| Article Title: | Hand-assisted laparoscopic liver resection: Lessons from an initial experience |
| Abstract: | Background: Recent innovations in laparoscopic instrumentation make routine resection of solid organs a clinical possibility. Hypothesis: Hand-assisted laparoscopic liver resection is a safe and feasible procedure for solitary cancers requiring removal of 2 segments of liver or less. Design and Patients: Eleven patients with liver tumors deemed technically resectable by laparoscopic techniques were subjected to laparoscopic evaluation and attempted hand-assisted laparoscopic resection between July 1998 and July 1999. During the same period, 230 patients underwent open liver resection. Setting: Tertiary care referral center for liver cancer. Main Outcome Measures: Success of laparoscopic resection, reasons for conversion to open liver resection, blood loss, tumor clearance margin, complications, and length of hospital stay. Results: Five patients underwent successful resection by the hand-assisted laparoscopic technique. Data from the 5 successful cases and the 6 aborted cases are presented to outline the issues and the lessons learned. Conclusions: In selected patients, hand-assisted laparoscopic liver resection can be safely performed and might have potential advantages over traditional liver resection if the tumor is limited to the left lateral segment or is at the margins of the liver. |
| Keywords: | adult; controlled study; treatment outcome; aged; middle aged; cancer surgery; surgical technique; major clinical study; liver neoplasms; laparoscopy; laparoscopic surgery; bleeding; time factors; postoperative complication; length of stay; hospitalization; feasibility study; liver tumor; liver resection; intermethod comparison; hepatectomy; safety; evaluation studies; anesthesia; laparoscopes; humans; human; male; female; priority journal; article |
| Journal Title: | Archives of Surgery |
| Volume: | 135 |
| Issue: | 7 |
| ISSN: | 0004-0010 |
| Publisher: | American Medical Association |
| Date Published: | 2000-07-01 |
| Start Page: | 854 |
| End Page: | 859 |
| Language: | English |
| PUBMED: | 10896382 |
| PROVIDER: | scopus |
| DOI: | 10.1001/archsurg.135.7.854 |
| DOI/URL: | |
| Notes: | Export Date: 18 November 2015 -- Source: Scopus |
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