Published in:
01-06-2012
Single-port laparoscopic hepatectomy: technique, safety, and feasibility in a clinical case series
Published in: Surgical Endoscopy | Issue 6/2012
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Background
The recent use of single-port-access surgery in cholecystectomy and other abdominal surgeries has confirmed its safety and validity as a treatment option. However, few reports have described the use of complete single-port access surgeries in hepatectomy for neoplasms.
Methods
The authors performed single-port laparoscopic hepatectomy (SLH) for eight patients (5 patients with hepatocellular carcinoma, 1 patient with metastatic liver tumor, 1 patient with endocrine liver tumor, and 1 patient with hemangioma). Furthermore, in terms of Child-Pugh classification, five patients were in category A, two in category B, and one in category C. The patients were eligible for SLH if they had solitary tumors measuring 3 cm or smaller on the caudal surface of the liver. The lesion was approached through a 20-mm supraumbilical incision using a single-port access device.
Results
No patient experienced intraoperative complications that required additional port access and conversion to laparotomy. The operative time was 148 min (range, 141–235 min). The postoperative course of the patients was uneventful, and they were discharged an average of 6.2 days (range, 3–11 days) after the operation. Approximately 2 weeks after discharge, the patients experienced no wound pain or liver dysfunction.
Conclusion
The SLH technique is a safe and feasible procedure for a specific group of candidates, including patients with high-grade liver dysfunction.