"Stretching the limits of laparoscopic surgery": two-stage laparoscopic liver resection
"Stretching the limits of laparoscopic surgery": two-stage laparoscopic liver resection
Introduction: the safety and feasibility of laparoscopic liver resections have recently been confirmed. This has encouraged laparoscopic surgeons to widen the indications and push the boundaries in laparoscopic liver resections. However, a complete laparoscopic two-stage liver resection has not been reported previously.
Aim: the aim of this work was to assess the feasibility and safety of the two-stage laparoscopic liver resection for metastatic disease.
Methods: the two-stage laparoscopic liver resection was safely performed in a 58-year-old man with colorectal liver metastasis (one in segment 2/3 and one in the right lobe). A left lateral sectionectomy was first performed, followed by right portal vein embolization 1 week later, and a nonanatomic resection of the right liver was performed after 6 weeks.
Conclusions: laparoscopic liver surgery is gaining popularity and major procedures can now be performed in centers with wide experience. The laparoscopic approach should always be considered for left lateral sectionectomy, and in selected cases, a complete laparoscopic two-stage resection can safely be performed
51-54
Jain, Gaurav
480918b2-3227-446a-b1f4-53a17e948c3f
Parmar, Jitesh
85402e1a-66bc-4cc5-8fbc-a9c52f9157ae
Mohammed, Mahfud M
0554f1d5-dfc5-4f64-98a3-6a9da0e36578
Bryant, Tim
0ae39e3b-3a9f-4385-865d-a764f64baebd
Kitteringham, L.
76323b89-f42d-4044-84b7-5eaacb81a1d5
Pearce, Neil
99caea3a-6e0a-42c4-a85a-2d5a5b34bced
Abu Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
February 2010
Jain, Gaurav
480918b2-3227-446a-b1f4-53a17e948c3f
Parmar, Jitesh
85402e1a-66bc-4cc5-8fbc-a9c52f9157ae
Mohammed, Mahfud M
0554f1d5-dfc5-4f64-98a3-6a9da0e36578
Bryant, Tim
0ae39e3b-3a9f-4385-865d-a764f64baebd
Kitteringham, L.
76323b89-f42d-4044-84b7-5eaacb81a1d5
Pearce, Neil
99caea3a-6e0a-42c4-a85a-2d5a5b34bced
Abu Hilal, Mohammed
384e1c60-8519-4eed-8e92-91775aad4c47
Jain, Gaurav, Parmar, Jitesh, Mohammed, Mahfud M, Bryant, Tim, Kitteringham, L., Pearce, Neil and Abu Hilal, Mohammed
(2010)
"Stretching the limits of laparoscopic surgery": two-stage laparoscopic liver resection.
Journal of Laparoendoscopic & Advanced Surgical Techniques, 20 (1), .
(doi:10.1089/lap.2009.0061).
(PMID:20100061)
Abstract
Introduction: the safety and feasibility of laparoscopic liver resections have recently been confirmed. This has encouraged laparoscopic surgeons to widen the indications and push the boundaries in laparoscopic liver resections. However, a complete laparoscopic two-stage liver resection has not been reported previously.
Aim: the aim of this work was to assess the feasibility and safety of the two-stage laparoscopic liver resection for metastatic disease.
Methods: the two-stage laparoscopic liver resection was safely performed in a 58-year-old man with colorectal liver metastasis (one in segment 2/3 and one in the right lobe). A left lateral sectionectomy was first performed, followed by right portal vein embolization 1 week later, and a nonanatomic resection of the right liver was performed after 6 weeks.
Conclusions: laparoscopic liver surgery is gaining popularity and major procedures can now be performed in centers with wide experience. The laparoscopic approach should always be considered for left lateral sectionectomy, and in selected cases, a complete laparoscopic two-stage resection can safely be performed
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Published date: February 2010
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Local EPrints ID: 172179
URI: http://eprints.soton.ac.uk/id/eprint/172179
ISSN: 1092-6429
PURE UUID: 39df5204-e8e4-48a3-851c-93a24236e5a6
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Date deposited: 25 Jan 2011 08:55
Last modified: 14 Mar 2024 02:28
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Contributors
Author:
Gaurav Jain
Author:
Jitesh Parmar
Author:
Mahfud M Mohammed
Author:
Tim Bryant
Author:
L. Kitteringham
Author:
Neil Pearce
Author:
Mohammed Abu Hilal
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