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Laparoscopic hepatectomy by curettage and aspiration: a report of 855 cases

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An Erratum to this article was published on 07 July 2016

Abstract

Background

In 1998, the technique of laparoscopic hepatectomy by curettage and aspiration was developed and a special instrument, laparoscopic multifunctional operative dissector (LPMOD), was designed for this procedure. In the past 17 years, this procedure was developed gradually and had become the routine procedure for laparoscopic hepatectomy in local area. This paper is to report results of 17-year practice of this procedure.

Methods

Patients who underwent laparoscopic hepatectomy from August 1998 to March 2015 were reviewed. Hepatectomies were performed using the technique of laparoscopic hepatectomy by curettage and aspiration. By using the LPMOD, liver parenchyma was crashed and aspirated immediately and the intrahepatic ducts and small vessels were preserved and were safely dissected for ligation. Laparoscopic selective hepatic flow occlusion was performed routinely for hemi-hepatectomies to control intraoperative blood loss.

Results

A total of 855 cases underwent laparoscopic hepatectomy by curettage and aspiration. No perioperative death, 105 patients were converted to open operation, and 84 of them were converted before liver transection without any emergency. Postoperative bleeding occurred in three patients (0.4 %), and bile leakage occurred in seven patients (0.8 %).

Conclusion

Laparoscopic hepatectomy by curettage and aspiration is a safe procedure for liver resection with acceptable morbidity and mortality.

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References

  1. Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I, Koffron AJ, Thomas M, Gayet B, Han HS, Wakabayashi G, Belli G, Kaneko H, Ker CG, Scatton O, Laurent A, Abdalla EK, Chaudhury P, Dutson E, Gamblin C, D’Angelica M, Nagorney D, Testa G, Labow D, Manas D, Poon RT, Nelson H, Martin R, Clary B, Pinson WC, Martinie J, Vauthey JN, Goldstein R, Roayaie S, Barlet D, Espat J, Abecassis M, Rees M, Fong Y, McMasters KM, Broelsch C, Busuttil R, Belghiti J, Strasberg S, Chari RS (2009) World consensus conference on laparoscopic surgery. The international position on laparoscopic liver surgery: the Louisville statement, 2008. Ann Surg 250:825–830

    Article  PubMed  Google Scholar 

  2. Wakabayashi G, Cherqui D, Geller DA, Buell JF, Kaneko H, Han HS, Asbun H, OʼRourke N, Tanabe M, Koffron AJ, Tsung A, Soubrane O, Machado MA, Gayet B, Troisi RI, Pessaux P, Van Dam RM, Scatton O, Abu Hilal M, Belli G, Kwon CH, Edwin B, Choi GH, Aldrighetti LA, Cai X, Cleary S, Chen KH, Schön MR, Sugioka A, Tang CN, Herman P, Pekolj J, Chen XP, Dagher I, Jarnagin W, Yamamoto M, Strong R, Jagannath P, Lo CM, Clavien PA, Kokudo N, Barkun J, Strasberg SM (2015) Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. Ann Surg 261:619–629

    PubMed  Google Scholar 

  3. Cai XJ, Yu H, Liang X, Wang YF, Zheng XY, Huang DY, Peng SY (2006) Laparoscopic hepatectomy by curettage and aspiration. Experiences of 62 cases. Surg Endosc 20:1531–1535

    Article  CAS  PubMed  Google Scholar 

  4. Peng SY, Li JT, Mou YP, Liu YB, Wu YL, Fang HQ, Cao LP, Chen L, Cai XJ, Peng CH (2003) Different approaches to caudate lobectomy with “curettage and aspiration” technique using a special instrument PMOD: a report of 76 cases. World J Gastroenterol 9:2169–2173

    Article  PubMed  PubMed Central  Google Scholar 

  5. Cai XJ, Wang YF, Liang YL, Yu H, Liang X (2009) Laparoscopic left hemihepatectomy: a safety and feasibility study of 19 cases. Surg Endosc 23:2556–2562

    Article  PubMed  Google Scholar 

  6. Cai X, Wang Y, Yu H, Liang X, Peng S (2007) Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients. Surg Endosc 21:1074–1078

    Article  PubMed  Google Scholar 

  7. Cai X, Peng S, Duan L, Wang Y, Yu H, Li Z (2014) Completely laparoscopic ALPPS using round-the-liver ligation to replace parenchymal transection for a patient with multiple right liver cancers complicated with liver cirrhosis. J Laparoendosc Adv Surg Tech A 24(12):883–886

    Article  PubMed  Google Scholar 

  8. Ishii H, Ochiai T, Murayama Y, Komatsu S, Shiozaki A, Kuriu Y, Ikoma H, Nakanishi M, Ichikawa D, Fujiwara H, Okamoto K, Kokuba Y, Sonoyama T, Otsuji E (2011) Risk factors and management of postoperative bile leakage after hepatectomy without bilioenteric anastomosis. Dig Surg 28:198–204

    Article  PubMed  Google Scholar 

  9. Yoshioka R, Saiura A, Koga R, Seki M, Kishi Y, Yamamoto J (2011) Predictive factors for bile leakage after hepatectomy: analysis of 505 consecutive patients. World J Surg 35:1898–1903

    Article  PubMed  Google Scholar 

  10. Guillaud A, Pery C, Campillo B, Lourdais A, Sulpice L, Boudjema K (2013) Incidence and predictive factors of clinically relevant bile leakage in the modern era of liver resections. HPB (Oxford) 15:224–229

    Article  Google Scholar 

  11. Kobayashi T (2015) Long-term survival analysis of pure laparoscopic versus open hepatectomy for hepatocellular carcinoma in patients with cirrhosis: a single-center experience. Ann Surg 262:e20

    Article  PubMed  Google Scholar 

  12. Yang T, Li L, Zhong Q, Lau WY, Zhang H, Huang X, Yu WF, Shen F, Li JW, Wu MC (2013) Risk factors of hospital mortality after re-laparotomy for post-hepatectomy hemorrhage. World J Surg 37:2394–2401

    Article  PubMed  Google Scholar 

  13. Lim C, Dokmak S, Farges O, Aussilhou B, Sauvanet A, Belghiti J (2014) Reoperation for post-hepatectomy hemorrhage: increased risk of mortality. Langenbecks Arch Surg 399:735–740

    Article  PubMed  Google Scholar 

  14. Sakamoto K, Tamesa T, Yukio T, Tokuhisa Y, Maeda Y, Oka M (2015) risk factors and managements of bile leakage after hepatectomy. World J Surg Jul 10 [Epub ahead of print]

  15. Buell JF, Thomas MT, Rudich S, Marvin M, Nagubandi R, Ravindra KV, Brock G, McMasters KM (2008) Experience with more than 500 minimally invasive hepatic procedures. Ann Surg 248:475–486

    PubMed  Google Scholar 

  16. Lin N, Nitta H, Wakabayashi G (2013) Laparoscopic major hepatectomy: a systematic literature review and comparison of 3 techniques. Ann Surg 257:205–213

    Article  PubMed  Google Scholar 

  17. Jarufe N, Figueroa E, Muñoz C, Moisan F, Varas J, Valbuena JR, Bambs C, Martínez J, Pimentel F (2012) Anatomic hepatectomy as a definitive treatment for hepatolithiasis: a cohort study. HPB (Oxford) 14:604–610

    Article  Google Scholar 

  18. Aldrighetti L, Arru M, Caterini R, Mukenge S, Ferla G (2001) Role of hepatic resection in the treatment of hepatolithiasis. Panminerva Med 43:89–93

    CAS  PubMed  Google Scholar 

  19. Schnitzbauer AA, Lang SA, Goessmann H, Nadalin S, Baumgart J, Farkas SA, Fichtner-Feigl S, Lorf T, Goralcyk A, Hörbelt R, Kroemer A, Loss M, Rümmele P, Scherer MN, Padberg W, Königsrainer A, Lang H, Obed A, Schlitt HJ (2012) Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings. Ann Surg 255:405–414

    Article  PubMed  Google Scholar 

  20. Sala S, Ardiles V, Ulla M, Alvarez F, Pekolj J, de Santibañes E (2012) Our initial experience with ALPPS technique: encouraging results. Updates Surg 64:167–172

    Article  PubMed  Google Scholar 

  21. Li J, Girotti P, Königsrainer I, Ladurner R, Königsrainer A, Nadalin S (2013) ALPPS in right trisectionectomy: a safe procedure to avoid postoperative liver failure? J Gastrointest Surg 17:956–961

    Article  PubMed  Google Scholar 

  22. Alvarez FA, Ardiles V, Sanchez Claria R, Pekolj J, de Santibañes E (2013) Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): tips and tricks. J Gastrointest Surg 17:814–821

    Article  PubMed  Google Scholar 

  23. Dagher I, Gayet B, Tzanis D, Tranchart H, Fuks D, Soubrane O, Han HS, Kim KH, Cherqui D, O’Rourke N, Troisi RI, Aldrighetti L, Bjorn E, Abu Hilal M, Belli G, Kaneko H, Jarnagin WR, Lin C, Pekolj J, Buell JF, Wakabayashi G (2014) International experience for laparoscopic major liver resection. J Hepatobiliary Pancreat Sci 21:732–736

    Article  PubMed  Google Scholar 

  24. Imura S, Shimada M, Utsunomiya T, Morine Y, Wakabayashi G, Kaneko H (2014) Current status of laparoscopic liver surgery in Japan: results of a multicenter Japanese experience. Surg Today 44:1214–1219

    Article  PubMed  Google Scholar 

  25. Long TC, Bac NH, Thuan ND, le Dat T, Viet DQ, le Chuong CH (2014) Laparoscopic liver resection: 5-year experience at a single center. Surg Endosc 28:796–802

    Article  PubMed  Google Scholar 

  26. Troisi RI, Montalti R, Van Limmen JG, Cavaniglia D, Reyntjens K, Rogiers X, De Hemptinne B (2014) Risk factors and management of conversions to an open approach in laparoscopic liver resection: analysis of 265 consecutive cases. HPB (Oxford) 16:75–82

    Article  Google Scholar 

  27. Tzanis D, Shivathirthan N, Laurent A, Abu Hilal M, Soubrane O, Kazaryan AM, Ettore GM, Van Dam RM, Lainas P, Tranchart H, Edwin B, Belli G, Campos RR, Pearce N, Gayet B, Dagher I (2013) European experience of laparoscopic major hepatectomy. J Hepatobiliary Pancreat Sci 20:120–124

    Article  PubMed  Google Scholar 

  28. Park JS, Han HS, Hwang DW, Yoon YS, Cho JY, Koh YS, Kwon CH, Kim KS, Kim SB, Kim YH, Kim HC, Chu CW, Lee DS, Kim HJ, Park SJ, Han SS, Song TJ, Ahn YJ, Yoo YK, Yu HC, Yoon DS, Lee MK, Lee HK, Min SK, Jeong CY, Hong SC, Choi IS, Hur KY (2012) Current status of laparoscopic liver resection in Korea. J Korean Med Sci 27:767–771

    Article  PubMed  PubMed Central  Google Scholar 

  29. Hwang DW, Han HS, Yoon YS, Cho JY, Kwon Y, Kim JH, Park JS, Yoon DS, Choi IS, Ahn KS, Kim YH, Kang KJ, Kim YH, Roh YH, Chu CW, Kim HC, Kang CM, Choi GH, Choi JS, Kim KS, Lee WJ, Yun SS, Kim HJ, Min SK, Lee HK, Song IS, Chun KS, Cho EH, Han SS, Park SJ (2013) Laparoscopic major liver resection in Korea: a multicenter study. J Hepatobiliary Pancreat Sci 20:125–130

    Article  PubMed  Google Scholar 

  30. Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection—2,804 patients. Ann Surg 250:831–841

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, 3, East Qingchun Road, Hangzhou, 310016, China

    XiuJun Cai, Lian Duan, YiFan Wang, Wenbin Jiang, Xiao Liang, Hong Yu & LiuXin Cai

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  1. XiuJun Cai
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  2. Lian Duan
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  4. Wenbin Jiang
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Correspondence to XiuJun Cai.

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Disclosures

Drs. XiuJun Cai, Lian Duan, YiFan Wang, Wenbin Jiang, Xiao Liang, Hong Yu and LiuXin Cai have no conflicts of interest or financial ties to disclose.

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Cai, X., Duan, L., Wang, Y. et al. Laparoscopic hepatectomy by curettage and aspiration: a report of 855 cases. Surg Endosc 30, 2904–2913 (2016). https://doi.org/10.1007/s00464-015-4576-0

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  • DOI: https://doi.org/10.1007/s00464-015-4576-0

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