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Laparoscopic liver resection: experience of 53 procedures at a single center

  • Published:
Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

Background/Purpose

The short-term outcome following laparoscopic liver resection at a single center is presented.

Methods

Fifty-three procedures were carried out in 47 patients, between August 1998 and April 2004 (6 patients were resected on two occasions). A previous laparotomy and/or hepatectomy had been done in 83% and 26% of the procedures, respectively. Colorectal metastasis was the main indication for treatment (42/53). A total laparoscopic approach was applied.

Results

Three of the 53 (6%) procedures were converted to laparotomy. In one additional procedure, radiofrequency ablation was done instead of resection. Sixty liver resections were done during the 49 procedures completed laparoscopically as planned (9 patients had concomitant resections performed). Nonanatomic (45/60) and anatomic (15/60; left lobectomies) resections were done. Tumor tissue was found in the resection margins of 6% of the specimens. The free margin was very short in 8% of the specimens. The morbidity was 16%. There was no mortality. Blood transfusions were given following 26% of the procedures. The median hospital stay was 3.5 days (range, 1–14 days) and the median number of days on which there was a need for opioids was 1 (range, 0–11 days).

Conclusions

Laparoscopic liver resection can be performed safely and seems to offer short-term benefits to the patients. Randomized studies are required to further evaluate the potential benefits of this treatment.

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References

  1. D Cherqui E Husson R Hammoud B Malassagne F Stephan S Bensaid et al. (2000) ArticleTitleLaparoscopic liver resections: a feasibility study in 30 patients Ann Surg 232 753–62 Occurrence Handle10.1097/00000658-200012000-00004 Occurrence Handle11088070

    Article  PubMed  Google Scholar 

  2. B Descottes F Lachachi M Sodji D Valleix S Durand-Fontanier DL Pech et al. (2000) ArticleTitleEarly experience with laparoscopic approach for solid liver tumors: initial 16 cases Ann Surg 232 641–5 Occurrence Handle10.1097/00000658-200011000-00004 Occurrence Handle11066134

    Article  PubMed  Google Scholar 

  3. B Descottes D Glineur F Lachachi D Valleix J Paineau A Hamy et al. (2003) ArticleTitleLaparoscopic liver resection of benign liver tumors Surg Endosc 17 23–30 Occurrence Handle10.1007/s00464-002-9047-8 Occurrence Handle12364994

    Article  PubMed  Google Scholar 

  4. B Edwin T Mala I Gladhaug E Fosse O Mathisen A Bergan et al. (2001) ArticleTitleLiver tumors and minimally invasive surgery: a feasibility study J Laparoendosc Adv Surg Tech A 11 133–9 Occurrence Handle10.1089/10926420152389260 Occurrence Handle11441989

    Article  PubMed  Google Scholar 

  5. Y Fong W Jarnagin KC Conlon R Dematteo E Dougherty LH Blumgart (2000) ArticleTitleHand-assisted laparoscopic liver resection: lessons from an initial experience Arch Surg 135 854–9 Occurrence Handle10.1001/archsurg.135.7.854 Occurrence Handle10896382

    Article  PubMed  Google Scholar 

  6. JF Gigot D Glineur J Santiago Azagra M Goergen M Ceuterick M Morino et al. (2002) ArticleTitleLaparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study Ann Surg 236 90–7 Occurrence Handle10.1097/00000658-200207000-00014 Occurrence Handle12131090

    Article  PubMed  Google Scholar 

  7. T Mala B Edwin I Gladhaug E Fosse O Soreide A Bergan et al. (2002) ArticleTitleA comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases Surg Endosc 16 1059–63 Occurrence Handle10.1007/s00464-001-9176-5 Occurrence Handle12165823

    Article  PubMed  Google Scholar 

  8. M Morino I Morra E Rosso C Miglietta C Garrone (2003) ArticleTitleLaparoscopic vs open hepatic resection: a comparative study Surg Endosc 17 1914–8 Occurrence Handle10.1007/s00464-003-9070-4 Occurrence Handle14574547

    Article  PubMed  Google Scholar 

  9. HG Rau E Buttler G Meyer HM Schardey FW Schildberg (1998) ArticleTitleLaparoscopic liver resection compared with conventional partial hepatectomy — a prospective analysis Hepatogastroenterology 45 2333–8 Occurrence Handle9951918

    PubMed  Google Scholar 

  10. M Lesurtel D Cherqui A Laurent C Tayar PL Fagniez (2003) ArticleTitleLaparoscopic versus open left lateral hepatic lobectomy: a case-control study J Am Coll Surg 196 236–42 Occurrence Handle10.1016/S1072-7515(02)01622-8 Occurrence Handle12595052

    Article  PubMed  Google Scholar 

  11. CN Tang MK Li (2002) ArticleTitleLaparoscopic assisted liver resection J Hepatobiliary Pancreat Surg 9 105–10 Occurrence Handle12021904

    PubMed  Google Scholar 

  12. M Hashizumo M Shimada K Sugimachi (2000) ArticleTitleLaparoscopic hepatectomy: a new approach for hepatocellular carcinoma J Hepatobiliary Pancreat Surg 7 270–5 Occurrence Handle10.1007/s005340070048 Occurrence Handle10982626

    Article  PubMed  Google Scholar 

  13. J Mouiel N Kathkouda J Guggenheim P Fabiani (2000) ArticleTitlePossibilities of laparoscopic liver resection J Hepatobiliary Pancreat Surg 7 1–8 Occurrence Handle10.1007/s005340050146 Occurrence Handle10982584

    Article  PubMed  Google Scholar 

  14. T Mala G Bohler O Mathisen A Bergan O Soreide (2002) ArticleTitleHepatic resection for colorectal metastases: can preoperative scoring predict patient outcome? World J Surg 26 1348–53 Occurrence Handle10.1007/s00268-002-6231-x Occurrence Handle12297926

    Article  PubMed  Google Scholar 

  15. M Shimada M Hashizume S Maehara E Tsujita T Rikimaru Y Yamashita et al. (2001) ArticleTitleLaparoscopic hepatectomy for hepatocellular carcinoma Surg Endosc 15 541–4 Occurrence Handle10.1007/s004640080099 Occurrence Handle11591936

    Article  PubMed  Google Scholar 

  16. N O’Rourke G Fielding (2004) ArticleTitleLaparoscopic right hepatectomy: surgical technique J Gastrointest Surg 8 213–6 Occurrence Handle10.1016/j.gassur.2003.11.008 Occurrence Handle15036198

    Article  PubMed  Google Scholar 

  17. M Gagner T Rogula D Selzer (2004) ArticleTitleLaparoscopic liver resection: benefits and controversies Surg Clin North Am 84 451–62 Occurrence Handle10.1016/j.suc.2003.11.002 Occurrence Handle15062655

    Article  PubMed  Google Scholar 

  18. RP DeMatteo C Palese WR Jarnagin RL Sun LH Blumgart Y Fong (2000) ArticleTitleAnatomic segmental hepatic resection is superior to wedge resection as an oncologic operation for colorectal liver metastases J Gastrointest Surg 4 178–84 Occurrence Handle10.1016/S1091-255X(00)80054-2 Occurrence Handle10675241

    Article  PubMed  Google Scholar 

  19. G Fusai BR Davidson (2003) ArticleTitleManagement of colorectal liver metastases Colorectal Dis 5 2–23 Occurrence Handle10.1046/j.1463-1318.2003.00410.x Occurrence Handle12780921

    Article  PubMed  Google Scholar 

  20. Y Fong J Fortner RL Sun MF Brennan LH Blumgart (1999) ArticleTitleClinical score for predicting recurrence after hepatic resection for metastatic colorectal cancer: analysis of 1001 consecutive cases Ann Surg 230 309–18 Occurrence Handle10.1097/00000658-199909000-00004 Occurrence Handle10493478

    Article  PubMed  Google Scholar 

  21. B Nordlinger M Guiguet JC Vaillant P Balladur K Boudjema P Bachellier et al. (1996) ArticleTitleSurgical resection of colorectal carcinoma metastases to the liver. A prognostic scoring system to improve case selection, based on 1568 patients. Association Francaise de Chirurgie Cancer 77 1254–62 Occurrence Handle10.1002/(SICI)1097-0142(19960401)77:7<1254::AID-CNCR5>3.0.CO;2-I Occurrence Handle8608500

    Article  PubMed  Google Scholar 

  22. DA Kooby J Stockman L Bent-Porat M Gonen WR Jarnagin RP DeMatteo et al. (2003) ArticleTitleInfluence of transfusions on perioperative and long-term outcome in patients following hepatic resection for colorectal metastases Ann Surg 237 860–9 Occurrence Handle10.1097/00000658-200306000-00015 Occurrence Handle12796583

    Article  PubMed  Google Scholar 

  23. O Farges P Jagot P Kirstetter J Marty J Belghiti (2002) ArticleTitleProspective assessment of the safety and benefit of laparoscopic liver resections J Hepatobiliary Pancreat Surg 9 242–8 Occurrence Handle10.1007/s005340200026 Occurrence Handle12140614

    Article  PubMed  Google Scholar 

  24. M Morino I Morra E Rosso C Miglietta C Garrone (2003) ArticleTitleLaparoscopic vs open hepatic resection: a comparative study Surg Endosc 17 1914–8 Occurrence Handle10.1007/s00464-003-9070-4 Occurrence Handle14574547

    Article  PubMed  Google Scholar 

  25. R Adam G Pascal D Azoulay K Tanaka D Castaing H Bismuth (2003) ArticleTitleLiver resection for colorectal metastases: the third hepatectomy Ann Surg 238 871–83 Occurrence Handle14631224

    PubMed  Google Scholar 

  26. H Petrowsky M Gonen W Jarnagin M Lorenz R Dematteo S Heinrich et al. (2002) ArticleTitleSecond liver resections are safe and effective treatment for recurrent hepatic metastases from colorectal cancer: a bi-institutional analysis Ann Surg 235 863–71 Occurrence Handle10.1097/00000658-200206000-00015 Occurrence Handle12035044

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Surgical Department, Rikshospitalet, 0027, Oslo, Norway

    Tom Mala, Bjørn Edwin, Arne R. Rosseland, Ivar Gladhaug & Øystein Mathisen

  2. Interventional Centre, Rikshospitalet, Oslo, Norway

    Bjørn Edwin & Erik Fosse

Authors
  1. Tom Mala
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  2. Bjørn Edwin
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  3. Arne R. Rosseland
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  4. Ivar Gladhaug
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  5. Erik Fosse
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  6. Øystein Mathisen
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Mala, T., Edwin, B., Rosseland, A. et al. Laparoscopic liver resection: experience of 53 procedures at a single center. J Hepatobiliary Pancreat Surg 12, 298–303 (2005). https://doi.org/10.1007/s00534-005-0974-3

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  • DOI: https://doi.org/10.1007/s00534-005-0974-3

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