Journal of Robotic Surgery

, Volume 6, Issue 4, pp 295–300 | Cite as

Conventional laparoscopic and robot-assisted laparoscopic liver resection for benign and malignant pathologies: a cohort study

  • Eric C. H. Lai
  • Chung Ngai Tang
  • Michael K. W. Li
Original Article

Abstract

The aim of our study was to evaluate different minimally invasive surgical approaches for liver resection in a tertiary surgical center. The study cohort comprised 104 consecutive patients who underwent total laparoscopic liver resection (n = 17), hand-assisted laparoscopic liver resection (n = 55), or robot-assisted laparoscopic liver resection (n = 32) in our center between October 1998 and January 2011. Surgical complications, postoperative course, disease-free survival, and overall survival for malignancy were assessed. These 104 resections were performed on 55 men and 49 women with a mean age of 60.4 years; 43.3% of patients had liver cirrhosis. The liver pathologies comprised malignant tumors (64.4%) and benign lesions (35.6%). The most common laparoscopic liver resection was left lateral sectionectomy (53.9%), wedge resection (26.9%), segmentectomy (13.5%), right hepatectomy (3.8%), and left hepatectomy (1.9%). Conversion from laparoscopy to open approach and from laparoscopy to hand-assisted approach occurred in 1.9 and 1% of the cases, respectively. Overall mortality was 0%, and morbidity was 17.3%. The median follow-up period was 24 months. The 5-year overall survival for hepatocellular carcinoma (HCC) was 52%, and the 3-year overall survival for colorectal liver metastasis was 88%. Based on these results, we conclude that laparoscopic liver resection is feasible and safe in appropriately selected patients. In our patient cohort, it was associated with a low complications rate and favorable survival outcome.

Keywords

Laparoscopy Robotic surgery Liver resection Hepatocelluar carcinoma Liver neoplasm 

Notes

Conflict of interest

None.

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Copyright information

© Springer-Verlag London Ltd 2011

Authors and Affiliations

  • Eric C. H. Lai
    • 1
  • Chung Ngai Tang
    • 1
  • Michael K. W. Li
    • 1
  1. 1.Department of SurgeryPamela Youde Nethersole Eastern HospitalChai Wan, Hong Kong SARChina

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