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Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization

  • Topics
  • Evolution and challenge in endoscopic HBP surgery
  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Introduction

Although laparoscopic colorectal or gastric surgery has become widely accepted as a superior alternative to conventional open surgery, the surgical management of hepato-biliary-pancreatic disease has traditionally involved open surgery. Recently, many reports have described laparoscopic partial liver resection, lateral segmentectomy, and distal pancreatectomy. However, laparoscopic major hepato-biliary-pancreatic surgery, such as hepatic lobectomy and pancreaticoduodenectomy, has not been widely developed because of technical difficulties.

Methods

We describe our experience with laparoscopic major hepato-biliary-pancreatic surgery, including right hepatectomy using hilar Glissonean pedicle transaction, and pylorus-preserving pancreaticoduodenectomy.

Conclusion

Although our experience is limited, and randomized study is necessary to elucidate the appropriate indications for and effects of the present procedures, we believe that laparoscopic major hepato-biliary-pancreatic surgery can be feasible, safe, and effective in highly selected patients, and that it will be one of the standard therapeutic options for carefully selected patients with hepato-biliary-pancreatic disease.

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Authors and Affiliations

  1. Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba, 260-8717, Japan

    Akihiro Cho, Hiroshi Yamamoto, Matsuo Nagata, Nobuhiro Takiguchi, Hideaki Shimada, Osamu Kainuma, Hiroaki Souda, Hisashi Gunji, Akinari Miyazaki, Atsushi Ikeda, Tomoko Tohma & Ikuko Matsumoto

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  1. Akihiro Cho
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  2. Hiroshi Yamamoto
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  3. Matsuo Nagata
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  4. Nobuhiro Takiguchi
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Correspondence to Akihiro Cho.

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Cho, A., Yamamoto, H., Nagata, M. et al. Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization. J Hepatobiliary Pancreat Surg 16, 705–710 (2009). https://doi.org/10.1007/s00534-009-0144-0

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  • DOI: https://doi.org/10.1007/s00534-009-0144-0

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