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Liver – Anatomical Liver Resections

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Minimally Invasive Surgical Oncology

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Abstract

The first footsteps in the field of laparoscopic liver surgery were marked by wedge resections limited to the marginal and anterior regions of the organ. Since then, more technically demanding procedures have been performed with efficacy and safety equaling outcomes in open surgery when performed in highly specialized centers. To propose laparoscopy as a valid and definitive alternative to open access in liver surgery, though, the feasibility of anatomical resections had to be established. This has been now accomplished in centers with a solid expertise in hepato-biliary surgery and laparoscopic techniques. This exciting evolution in minimally invasive liver surgery is the result of technological advances and modifications in laparoscopic equipment coupled with progression in surgical skills. Routine use of preoperative imaging like computed tomography (CT) scans, magnetic resonance imaging (MRI) or intra-operative ultrasound (US) contributed greatly to diagnostic accuracy and planning of the resection. Improved anesthesia and critical care was essential in having good outcomes. This chapter describes our evolution and current technique approach to highly complex liver resections as we practice it at our institution since many years.

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Author information

Authors and Affiliations

  1. Department of Digestive Pathology, Institut Mutualiste Montsouris, Université Paris Descartes, 42 Bd Jourdan, 75014, Paris, France

    Bruto Randone & Brice Gayet

  2. Surgical Oncologist/Minimally Invasive Surgeon, 263 Osborn Street, Philadelphia, PA, 19128, USA

    Ronald Matteotti

Authors
  1. Bruto Randone
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  2. Ronald Matteotti
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  3. Brice Gayet
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Corresponding author

Correspondence to Brice Gayet .

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Editors and Affiliations

  1. Surgical Oncologist/Minimally Invasive S, Osborn Street 263, Philadelphia, 19128, Pennsylvania, USA

    Ronald Matteotti

  2. Chief, General Surgery, Department of Surgery, Brigham and Women's Hospital/Harvard Med, Francis St. 75, Boston, 02115, Massachusetts, USA

    Stanley W. Ashley

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Randone, B., Matteotti, R., Gayet, B. (2011). Liver – Anatomical Liver Resections. In: Matteotti, R., Ashley, S. (eds) Minimally Invasive Surgical Oncology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-45021-4_22

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  • DOI: https://doi.org/10.1007/978-3-540-45021-4_22

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-45018-4

  • Online ISBN: 978-3-540-45021-4

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