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Laparoscopic Liver Surgery in Benign Liver Lesions

  • Vishal G. Shelat
  • Federica Cipriani
  • Mohammad Abu HilalEmail author

Abstract

Laparoscopic liver surgery is expanding, and many studies have demonstrated the safety, feasibility, and advantages of the laparoscopic approach. Laparoscopic liver resection is a routine approach for a variety of liver lesions. Incidental benign liver lesions are increasingly diagnosed due to widespread availability and application of modern imaging. It is important to note that availability of laparoscopic liver surgery should not lead to relaxation in surgical indications for benign liver lesions. A multidisciplinary discussion should proceed prior to recommendation of surgery in benign liver lesions. Some of the benefits of minimal access surgery like shorter hospital stay, early return to work, and improved cosmesis are more appealing to young patients with benign disease. We believe that whenever a liver resection is indicated for benign liver lesions, laparoscopic approach should be considered if expertise is available. Laparoscopic liver resection should only be performed in specialized centers.

Keywords

Benign Laparoscopy Liver resection 

References

  1. 1.
    Litynski GS (1998) Erich Mühe and the rejection of laparoscopic cholecystectomy (1985): a surgeon ahead of his time. JSLS 2:341–346PubMedCentralPubMedGoogle Scholar
  2. 2.
    Blum CA, Adams DB (2011) Who did the first laparoscopic cholecystectomy? J Minim Access Surg 7:165–168CrossRefPubMedCentralPubMedGoogle Scholar
  3. 3.
    NIH Consensus Conference (1993) Gallstones and laparoscopic cholecystectomy. JAMA 269:1018–1024CrossRefGoogle Scholar
  4. 4.
    Sain AH (1996) Laparoscopic cholecystectomy is the current “gold standard” for the treatment of gallstone disease. Ann Surg 224:689–690CrossRefPubMedCentralPubMedGoogle Scholar
  5. 5.
    Simillis C, Constantinides VA, Tekkis PP, Darzi A, Lovegrove R, Jiao L, Antoniou A (2007) Laparoscopic versus open hepatic resections for benign and malignant neoplasms: a meta-analysis. Surgery 141:203–211CrossRefPubMedGoogle Scholar
  6. 6.
    Buell JF, Cherqui D, Geller DA et al (2009) The international position on laparoscopic liver surgery: the Louisville Statement, 2008. Ann Surg 250:825–830CrossRefPubMedGoogle Scholar
  7. 7.
    Salky B, Finkel S (1985) Laparoscopic drainage of amebic liver abscess. Gastrointest Endosc 31:30–32CrossRefPubMedGoogle Scholar
  8. 8.
    Klotz HP, Schlumpf R, Weder W, Largiadèr F (1993) Minimal invasive surgery for treatment of enlarged symptomatic liver cysts. Surg Laparosc Endosc 3:351–353CrossRefPubMedGoogle Scholar
  9. 9.
    Katkhouda N, Fabiani P, Benizri E, Mouiel J (1992) Laser resection of a liver hydatid cyst under videolaparoscopy. Br J Surg 79:560–561CrossRefPubMedGoogle Scholar
  10. 10.
    Wayand W, Woisetschläger R (1993) Laparoscopic resection of liver metastasis. Chirurg 64:195–197PubMedGoogle Scholar
  11. 11.
    Gagner M, Rheault M, Dubuc J (1992) Laparoscopic partial hepatectomy for liver tumor [abstract]. Surg Endosc 6:99Google Scholar
  12. 12.
    Buell JF, Thomas MT, Rudich S, Marvin M, Nagubandi R, Ravindra KV, Brock G, Mc-Masters KM (2008) Experience with more than 500 minimally invasive hepatic procedures. Ann Surg 248:475–486PubMedGoogle Scholar
  13. 13.
    Koffron AJ, Auffenberg G, Kung R, Abecassis M (2007) Evaluation of 300 minimally invasive liver resections at a single institution: less is more. Ann Surg 246:385–392CrossRefPubMedCentralPubMedGoogle Scholar
  14. 14.
    Laurence J et al (2007) Laparoscopic hepatectomy, a systematic review. ANZ J Surg 77:948–953CrossRefPubMedGoogle Scholar
  15. 15.
    Johnstone PA, Rohde DC, Swartz SE, Fetter JE, Wexner SD (1996) Port site recurrences after laparoscopic and thoracoscopic procedures in malignancy. J Clin Oncol 14:1950–1956PubMedGoogle Scholar
  16. 16.
    Paolucci V, Schaeff B, Schneider M, Gutt C (1999) Tumor seeding following laparoscopy: international survey. World J Surg 23:989–995CrossRefPubMedGoogle Scholar
  17. 17.
    Volz J, Koster S, Spacek Z, Paweletz N (1999) The influence of pneumoperitoneum used in laparoscopic surgery on an intra-abdominal tumor growth. Cancer 86:770–774CrossRefPubMedGoogle Scholar
  18. 18.
    Cherqui D, Husson E, Hammoud R, Malassagne B, Stéphan F, Bensaid S, Rotman N, Fagniez PL (2000) Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 232(6):753–762CrossRefPubMedCentralPubMedGoogle Scholar
  19. 19.
    Aldrighetti L et al (2008) A prospective evaluation of laparoscopic versus open left lateral hepatic sectionectomy. J Gastrointest Surg 12:457–462CrossRefPubMedGoogle Scholar
  20. 20.
    Rau HG et al (1998) Laparoscopic liver resection compared with conventional partial hepatectomy—a prospective analysis. Hepatogastroenterology 45:2333–2338PubMedGoogle Scholar
  21. 21.
    Dagher I, Proske JM, Carloni A, Richa H, Tranchart H, Franco D (2007) Laparoscopic liver resection: results for 70 patients. Surg Endosc 21(4):619–624CrossRefPubMedGoogle Scholar
  22. 22.
    Abu Hilal M, Pearce NW (2008) Laparoscopic left lateral liver sectionectomy: a safe, efficient reproducible technique. Dig Surg 25(4):305–308CrossRefPubMedGoogle Scholar
  23. 23.
    Abu Hilal M, Di Fabio F, Teng MJ, Lykoudis P, Primrose JN, Pearce NW (2011) Single-centre comparative study of laparoscopic versus open right hepatectomy. J Gastrointest Surg 15(5):818–823CrossRefPubMedGoogle Scholar
  24. 24.
    Abu Hilal M, McPhail MJ, Zeidan B, Zeidan S, Hallam MJ, Armstrong T, Primrose JN, Pearce NW (2008) Laparoscopic versus open left lateral hepatic sectionectomy: a comparative study. Eur J Surg Oncol 34(12):1285–1288CrossRefPubMedGoogle Scholar
  25. 25.
    Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection-2,804 patients. Ann Surg 250:831–841CrossRefPubMedGoogle Scholar
  26. 26.
    Abu Hilal M, Underwood T, Zuccaro M, Primrose J, Pearce N (2010) Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases. Br J Surg 97(6):927–933CrossRefPubMedGoogle Scholar
  27. 27.
    Cherqui D, Rahmouni A, Charlotte F et al (1995) Management of focal nodular hyperplasia and hepatocellular adenoma in young women: a series of 41 patients with clinical, radiological, and pathological correlations. Hepatology 22(6):1674–1681CrossRefPubMedGoogle Scholar
  28. 28.
    Weimann A, Ringe B, Klempnauer J, Lamesch P, Gratz KF, Prokop M, Maschek H, Tusch G, Pichlmayr R (1997) Benign liver tumors: differential diagnosis and indications for surgery. World J Surg 21:983–990CrossRefPubMedGoogle Scholar
  29. 29.
    Kammula US, Buell JF, Labow DM, Rosen S, Millis JM, Posner MC (2001) Surgical management of benign tumors of the liver. Int J Gastrointest Cancer 30:141–146CrossRefPubMedGoogle Scholar
  30. 30.
    Terkivatan T, de Wilt JH, de Man RA, van Rijn RR, Zondervan PE, Tilanus HW, IJzermans JN (2001) Indications and long-term outcome of treatment for benign hepatic tumors: a critical appraisal. Arch Surg 136:1033–1038CrossRefPubMedGoogle Scholar
  31. 31.
    Liu CL, Fan ST, Lo CM et al (2004) Hepatic resection for incidentaloma. J Gastrointest Surg 8:785–793CrossRefPubMedGoogle Scholar
  32. 32.
    Cherny CK, Jarnagin WR, Schwartz LH et al (2001) Management of 155 patients with benign liver tumours. Br J Surg 88(6):808–813CrossRefGoogle Scholar
  33. 33.
    Choi BY, Nguyen MH (2005) The diagnosis and management of benign hepatic tumors. J Clin Gastroenterol 39(5):401–412CrossRefPubMedGoogle Scholar
  34. 34.
    Belghiti J, Paterson D, Panis Y et al (1993) Resection of presumed benign liver tumours. Br J Surg 80(3):380–383CrossRefPubMedGoogle Scholar
  35. 35.
    Buell JF, Tranchart H, Cannon R et al (2010) Management of benign hepatic tumors. Surg Clin North Am 90(4):719–735CrossRefPubMedGoogle Scholar
  36. 36.
    Li SQ, Liang LJ, Peng BG et al (2012) Outcomes of liver resection for intrahepatic stones: a comparative study of unilateral versus bilateral disease. Ann Surg 255:946–953CrossRefPubMedGoogle Scholar
  37. 37.
    Trotter JF, Everson GT (2001) Benign focal lesions of the liver. Clin Liver Dis 5(1):17–42CrossRefPubMedGoogle Scholar
  38. 38.
    Baer HU, Dennison AR, Mouton W et al (1992) Enucleation of giant hemangiomas of the liver: technical and pathologic aspects of a neglected procedure. Ann Surg 216(6):673–676CrossRefPubMedCentralPubMedGoogle Scholar
  39. 39.
    Gedaly R, Pomposelli JJ, Pomfret EA et al (1999) Cavernous hemangioma of the liver: anatomic resection vs enucleation. Arch Surg 134(4):407–411CrossRefPubMedGoogle Scholar
  40. 40.
    Yoon SS, Charny CK, Fong Y et al (2003) Diagnosis, management, and outcomes of 115 patients with hepatic hemangioma. J Am Coll Surg 197(3):392–402CrossRefPubMedGoogle Scholar
  41. 41.
    Nagorney DM (1995) Benign hepatic tumors: focal nodular hyperplasia and hepatocellular adenoma. World J Surg 19(1):13–18CrossRefPubMedGoogle Scholar
  42. 42.
    Abu Hilal M, Di Fabio F, Wiltshire DR et al (2011) Laparoscopic liver resection for hepatocellular adenoma. World J Gastrointest Surg 3(7):101–105CrossRefPubMedGoogle Scholar
  43. 43.
    Deneve JL, Pawlik TM, Cunningham S et al (2009) Liver cell adenoma: a multicenter analysis of risk factors for rupture and malignancy. Ann Surg Oncol 16(3):640–648CrossRefPubMedGoogle Scholar
  44. 44.
    Cho SW, Marsh JW, Steel J et al (2008) Surgical management of hepatocellular adenoma: take it or leave it? Ann Surg Oncol 15:2795–2803CrossRefPubMedGoogle Scholar
  45. 45.
    Larssen TB, Rorvik J, Hoff SR et al (2005) The occurrence of asymptomatic and symptomatic simple hepatic cysts. A prospective, hospital-based study. Clin Radiol 60(9):1026–1029CrossRefPubMedGoogle Scholar
  46. 46.
    Dixon E, Sutherland FR, Mitchell P et al (2001) Cystadenomas of the liver: a spectrum of disease. Can J Surg 44(5):313–376Google Scholar
  47. 47.
    Devaney K, Goodman ZD, Ishak KG et al (1994) Hepatobiliary cystadenoma and cystadenocarcinoma. A light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 18(11):1078–1091CrossRefPubMedGoogle Scholar
  48. 48.
    Ishak KG, Willis GW, Cummins SD et al (1977) Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the literature. Cancer 39(1):322–338CrossRefPubMedGoogle Scholar
  49. 49.
    Truant S, Bouras AF, Petrovai G et al (2013) Volumetric gain of the liver after major hepatectomy in obese patients: a case-matched study in 84 patients. Ann Surg 258:696–702CrossRefPubMedGoogle Scholar
  50. 50.
    Ferrero A, Viganò L, Polastri R et al (2007) Postoperative liver dysfunction and future remnant liver: where is the limit? Results of a prospective study. World J Surg 31:1643–1651CrossRefPubMedGoogle Scholar
  51. 51.
    Kishi Y, Abdalla EK, Chun YS et al (2009) Three hundred and one consecutive extended right hepatectomies: evaluation of outcome based on systematic liver volumetry. Ann Surg 250:540–548PubMedGoogle Scholar
  52. 52.
    Cunningham JD, Fong Y, Shriver C et al (1994) One hundred consecutive hepatic resections: blood loss, transfusion, and operative technique. Arch Surg 129(10):1050–1056CrossRefPubMedGoogle Scholar
  53. 53.
    Melendez JA, Arslan V, Fischer ME et al (1998) Perioperative outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfusion, and the risk of postoperative renal dysfunction. J Am Coll Surg 187(6):620–625CrossRefPubMedGoogle Scholar
  54. 54.
    Belghiti J, Noun R, Malafosse R et al (1999) Continuous versus intermittent portal triad clamping for liver resection: a controlled study. Ann Surg 229:369–375CrossRefPubMedCentralPubMedGoogle Scholar
  55. 55.
    Clavien PA, Yadav S, Sindram D et al (2000) Protective effects of ischemic preconditioning for liver resection performed under inflow occlusion in humans. Ann Surg 232:155–162CrossRefPubMedCentralPubMedGoogle Scholar
  56. 56.
    McEntee GP, Nagorney DM (1991) Use of vascular staplers in major hepatic resections. Br J Surg 78(1):40–41CrossRefPubMedGoogle Scholar
  57. 57.
    Schemmer P, Friess H, Hinz U et al (2006) Stapler hepatecomy is a safe dissection technique: analysis of 300 patients. World J Surg 30(3):419–430CrossRefPubMedGoogle Scholar
  58. 58.
    Balaa FK, Tsung A, Gamblin TC et al (2008) Right hepatic lobectomy using the staple technique in 101 patients. J Gastrointest Surg 12(2):338–343CrossRefPubMedGoogle Scholar
  59. 59.
    Nakamura S, Tsuzuki T (1981) Surgical anatomy of the hepatic veins and the inferior vena cava. Surg Gynecol Obstet 152(1):43–50PubMedGoogle Scholar
  60. 60.
    Abu Hilal M, Di Fabio F, Teng MJ et al (2011) Surgical management of benign and indeterminate hepatic lesions in the era of laparoscopic liver surgery. Dig Surg 28:232–236CrossRefPubMedGoogle Scholar
  61. 61.
    Koller M, Lorenz W (2002) Quality of life: a deconstruction for clinicians. J R Soc Med 95:481–488CrossRefPubMedCentralPubMedGoogle Scholar
  62. 62.
    Ardito F, Tayar C, Laurent A et al (2007) Laparoscopic liver resection for benign disease. Arch Surg 142:1188–1193CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG Switzerland 2015

Authors and Affiliations

  • Vishal G. Shelat
    • 1
  • Federica Cipriani
    • 1
  • Mohammad Abu Hilal
    • 2
    Email author
  1. 1.HPB SurgerySouthampton General HospitalSouthamptonUK
  2. 2.Southampton General HospitalUniversity HospitalSouthamptonUK

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