Laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3): towards the “gold standard”
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- Azagra, J.S., Goergen, M., Brondello, S. et al. J Hepatobiliary Pancreat Surg (2009) 16: 422. doi:10.1007/s00534-009-0117-3
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The purpose of this article is to define the state of the art in laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3) in order to advance the good option towards the “gold standard”.
Based on a large review of the literature as well as on our personal experience the authors define clearly: the feasibility and the effectiveness of LLS 2 and 3.
In this review the conversion rate was <4%, the histological positive margins was <0.8%, and the mortality was inferior to 0.8%.
The LLS 2 and 3 seem equivalent or perhaps better option compared with the same intervention performed by laparotomy and can be proposed as primary with a grade C recommendation.