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Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-11-2009 | Topics

Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization

Authors: Akihiro Cho, Hiroshi Yamamoto, Matsuo Nagata, Nobuhiro Takiguchi, Hideaki Shimada, Osamu Kainuma, Hiroaki Souda, Hisashi Gunji, Akinari Miyazaki, Atsushi Ikeda, Tomoko Tohma, Ikuko Matsumoto

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

Abstract

Introduction

Although laparoscopic colorectal or gastric surgery has become widely accepted as a superior alternative to conventional open surgery, the surgical management of hepato-biliary-pancreatic disease has traditionally involved open surgery. Recently, many reports have described laparoscopic partial liver resection, lateral segmentectomy, and distal pancreatectomy. However, laparoscopic major hepato-biliary-pancreatic surgery, such as hepatic lobectomy and pancreaticoduodenectomy, has not been widely developed because of technical difficulties.

Methods

We describe our experience with laparoscopic major hepato-biliary-pancreatic surgery, including right hepatectomy using hilar Glissonean pedicle transaction, and pylorus-preserving pancreaticoduodenectomy.

Conclusion

Although our experience is limited, and randomized study is necessary to elucidate the appropriate indications for and effects of the present procedures, we believe that laparoscopic major hepato-biliary-pancreatic surgery can be feasible, safe, and effective in highly selected patients, and that it will be one of the standard therapeutic options for carefully selected patients with hepato-biliary-pancreatic disease.

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Title: Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization
Authors: Akihiro Cho
Hiroshi Yamamoto
Matsuo Nagata
Nobuhiro Takiguchi
Hideaki Shimada
Osamu Kainuma
Hiroaki Souda
Hisashi Gunji
Akinari Miyazaki
Atsushi Ikeda
Tomoko Tohma
Ikuko Matsumoto
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/s00534-009-0144-0

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic major hepato-biliary-pancreatic surgery: formidable challenge to standardization

Abstract

Introduction

Methods

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Conclusion

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