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Journal of Hepato-Biliary-Pancreatic Sciences
Published in: Journal of Hepato-Biliary-Pancreatic Sciences 6/2009

01-11-2009 | Topics

Laparoscopic hepatectomy for liver tumors: proposals for standardization

Authors: Yuichiro Otsuka, Masaru Tsuchiya, Tetsuya Maeda, Toshio Katagiri, Jun Isii, Akira Tamura, Kunihiro Yamazaki, Yoshihisa Kubota, Takashi Suzuki, Takayuki Suzuki, Satoru Kagami, Hironori Kaneko

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 6/2009

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Abstract

Background/purpose

We draw on our experience with laparoscopic hepatectomy (LH) to present recommendations for standardization of LH for the treatment of liver tumors.

Methods

At our center, 90 LHs were performed from April 1993 to January 2008. These were divided equally into early cases and late cases, and short-term postoperative results were compared. Forty-nine of the LH procedures were total-laparoscopic procedures, 16 were hand-assisted procedures, and 25 were laparoscopy-assisted procedures. The tumors were malignant in 76 cases and benign in 14 cases.

Results

Among late cases, the numbers of malignant tumors and tumors located in the posterosuperior region of the liver (Segments VII, VIII, and IVb) were significantly higher than among early cases; however, operative blood loss and postoperative hospital stay were significantly lower in the late cases (158.9 ± 213.4 vs. 377.6 ± 421.2 cc, P = 0.007; and 8.7 ± 3.6 vs. 15.3 ± 8.7 days, P = 0.0001, respectively). No operative deaths occurred in either group.

Conclusions

Although LH does have a steep learning curve, we believe that it can be standardized and provide a less invasive surgical option—with no reduction in disease curability—for the treatment of liver tumors in selected patients.
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Metadata
Title
Laparoscopic hepatectomy for liver tumors: proposals for standardization
Authors
Yuichiro Otsuka
Masaru Tsuchiya
Tetsuya Maeda
Toshio Katagiri
Jun Isii
Akira Tamura
Kunihiro Yamazaki
Yoshihisa Kubota
Takashi Suzuki
Takayuki Suzuki
Satoru Kagami
Hironori Kaneko
Publication date
01-11-2009
Publisher
Springer Japan
Published in
Journal of Hepato-Biliary-Pancreatic Sciences / Issue 6/2009
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI
https://doi.org/10.1007/s00534-009-0139-x

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