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Surgical Endoscopy

, Volume 34, Issue 2, pp 954–960 | Cite as

Laparoscopic liver resection for segment VII lesion using a combination of rubber band retraction method and flexible laparoscope

  • Jin Woo Lee
  • Sung Hoon ChoiEmail author
  • Seungki Kim
  • Sung Won Kwon
2018 EAES Oral
  • 124 Downloads

Abstract

Introduction

Laparoscopic liver resection (LLR) for tumors involving segment VII has been considered a contraindication. Herein, our proposed laparoscopic technique for segment VII lesions using a rubber band retraction method and flexible laparoscope is introduced.

Methods

A combination of elastic rubber band retraction method and flexible laparoscope was applied to access segment VII lesion. The perioperative outcomes and pathologic results were compared between patients with segment VII lesions (group 1) and patients with tumors in other segments (group 2) to evaluate feasibility and safety of the proposed laparoscopic approach for segment VII lesions.

Results

Among 167 patients who underwent LLR from May 2014 to October 2017, the study population included 17 patients with tumors in segment VII (group 1) and 66 patients with tumors in other segments (group 2). The demographics of the two groups were comparable. One open conversion occurred in group 2 due to bleeding. The mean tumor size was 2.6 ± 1.0 and 2.5 ± 1.5 cm (p = 0.392) and surgical margin was 1.2 ± 0.7 and 1.3 ± 1.2 cm (p = 0.344) in group 1 and group 2, respectively. The mean operation time was 151 ± 63 and 131 ± 57 min (p = 0.596) and estimated mean blood loss was 294 ± 281 and 306 ± 405 mL (p = 0.610), in group 1 and group 2, respectively. The mean postoperative hospital stay was 6.1 ± 1.5 and 6.4 ± 2.7 days (p = 0.064) in group 1 and group 2. Two postoperative complications in both groups and no postoperative mortality occurred.

Conclusion

The combination technique of rubber band retraction and flexible laparoscopic camera allowed feasible and safe LLR for segment VII lesions that showed postoperative outcomes comparable to other segment lesions.

Keywords

Hepatectomy Liver resection Laparoscopic Minimally invasive 

Notes

Compliance with ethical standards

Disclosure

Dr. Jin Woo Lee, Sung Hoon Choi, Seungki Kim, and Sung Won Kwon have no conflicts of interest or financial ties to disclose.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Hepatobiliary and Pancreas, Department of SurgeryCHA Bundang Medical Center, CHA UniversitySeongnam-SiKorea

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