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Surgical Endoscopy

Published in:

01-07-2016

Laparoscopic hepatectomy by curettage and aspiration: a report of 855 cases

Authors: XiuJun Cai, Lian Duan, YiFan Wang, Wenbin Jiang, Xiao Liang, Hong Yu, LiuXin Cai

Published in: Surgical Endoscopy | Issue 7/2016

Abstract

Background

In 1998, the technique of laparoscopic hepatectomy by curettage and aspiration was developed and a special instrument, laparoscopic multifunctional operative dissector (LPMOD), was designed for this procedure. In the past 17 years, this procedure was developed gradually and had become the routine procedure for laparoscopic hepatectomy in local area. This paper is to report results of 17-year practice of this procedure.

Methods

Patients who underwent laparoscopic hepatectomy from August 1998 to March 2015 were reviewed. Hepatectomies were performed using the technique of laparoscopic hepatectomy by curettage and aspiration. By using the LPMOD, liver parenchyma was crashed and aspirated immediately and the intrahepatic ducts and small vessels were preserved and were safely dissected for ligation. Laparoscopic selective hepatic flow occlusion was performed routinely for hemi-hepatectomies to control intraoperative blood loss.

Results

A total of 855 cases underwent laparoscopic hepatectomy by curettage and aspiration. No perioperative death, 105 patients were converted to open operation, and 84 of them were converted before liver transection without any emergency. Postoperative bleeding occurred in three patients (0.4 %), and bile leakage occurred in seven patients (0.8 %).

Conclusion

Laparoscopic hepatectomy by curettage and aspiration is a safe procedure for liver resection with acceptable morbidity and mortality.

Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I, Koffron AJ, Thomas M, Gayet B, Han HS, Wakabayashi G, Belli G, Kaneko H, Ker CG, Scatton O, Laurent A, Abdalla EK, Chaudhury P, Dutson E, Gamblin C, D’Angelica M, Nagorney D, Testa G, Labow D, Manas D, Poon RT, Nelson H, Martin R, Clary B, Pinson WC, Martinie J, Vauthey JN, Goldstein R, Roayaie S, Barlet D, Espat J, Abecassis M, Rees M, Fong Y, McMasters KM, Broelsch C, Busuttil R, Belghiti J, Strasberg S, Chari RS (2009) World consensus conference on laparoscopic surgery. The international position on laparoscopic liver surgery: the Louisville statement, 2008. Ann Surg 250:825–830CrossRefPubMed

Wakabayashi G, Cherqui D, Geller DA, Buell JF, Kaneko H, Han HS, Asbun H, OʼRourke N, Tanabe M, Koffron AJ, Tsung A, Soubrane O, Machado MA, Gayet B, Troisi RI, Pessaux P, Van Dam RM, Scatton O, Abu Hilal M, Belli G, Kwon CH, Edwin B, Choi GH, Aldrighetti LA, Cai X, Cleary S, Chen KH, Schön MR, Sugioka A, Tang CN, Herman P, Pekolj J, Chen XP, Dagher I, Jarnagin W, Yamamoto M, Strong R, Jagannath P, Lo CM, Clavien PA, Kokudo N, Barkun J, Strasberg SM (2015) Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka. Ann Surg 261:619–629PubMed

Cai XJ, Yu H, Liang X, Wang YF, Zheng XY, Huang DY, Peng SY (2006) Laparoscopic hepatectomy by curettage and aspiration. Experiences of 62 cases. Surg Endosc 20:1531–1535CrossRefPubMed

Peng SY, Li JT, Mou YP, Liu YB, Wu YL, Fang HQ, Cao LP, Chen L, Cai XJ, Peng CH (2003) Different approaches to caudate lobectomy with “curettage and aspiration” technique using a special instrument PMOD: a report of 76 cases. World J Gastroenterol 9:2169–2173CrossRefPubMedPubMedCentral

Cai XJ, Wang YF, Liang YL, Yu H, Liang X (2009) Laparoscopic left hemihepatectomy: a safety and feasibility study of 19 cases. Surg Endosc 23:2556–2562CrossRefPubMed

Cai X, Wang Y, Yu H, Liang X, Peng S (2007) Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients. Surg Endosc 21:1074–1078CrossRefPubMed

Cai X, Peng S, Duan L, Wang Y, Yu H, Li Z (2014) Completely laparoscopic ALPPS using round-the-liver ligation to replace parenchymal transection for a patient with multiple right liver cancers complicated with liver cirrhosis. J Laparoendosc Adv Surg Tech A 24(12):883–886CrossRefPubMed

Ishii H, Ochiai T, Murayama Y, Komatsu S, Shiozaki A, Kuriu Y, Ikoma H, Nakanishi M, Ichikawa D, Fujiwara H, Okamoto K, Kokuba Y, Sonoyama T, Otsuji E (2011) Risk factors and management of postoperative bile leakage after hepatectomy without bilioenteric anastomosis. Dig Surg 28:198–204CrossRefPubMed

Yoshioka R, Saiura A, Koga R, Seki M, Kishi Y, Yamamoto J (2011) Predictive factors for bile leakage after hepatectomy: analysis of 505 consecutive patients. World J Surg 35:1898–1903CrossRefPubMed

10.

Guillaud A, Pery C, Campillo B, Lourdais A, Sulpice L, Boudjema K (2013) Incidence and predictive factors of clinically relevant bile leakage in the modern era of liver resections. HPB (Oxford) 15:224–229CrossRef

11.

Kobayashi T (2015) Long-term survival analysis of pure laparoscopic versus open hepatectomy for hepatocellular carcinoma in patients with cirrhosis: a single-center experience. Ann Surg 262:e20CrossRefPubMed

12.

Yang T, Li L, Zhong Q, Lau WY, Zhang H, Huang X, Yu WF, Shen F, Li JW, Wu MC (2013) Risk factors of hospital mortality after re-laparotomy for post-hepatectomy hemorrhage. World J Surg 37:2394–2401CrossRefPubMed

13.

Lim C, Dokmak S, Farges O, Aussilhou B, Sauvanet A, Belghiti J (2014) Reoperation for post-hepatectomy hemorrhage: increased risk of mortality. Langenbecks Arch Surg 399:735–740CrossRefPubMed

14.

Sakamoto K, Tamesa T, Yukio T, Tokuhisa Y, Maeda Y, Oka M (2015) risk factors and managements of bile leakage after hepatectomy. World J Surg Jul 10 [Epub ahead of print]

15.

Buell JF, Thomas MT, Rudich S, Marvin M, Nagubandi R, Ravindra KV, Brock G, McMasters KM (2008) Experience with more than 500 minimally invasive hepatic procedures. Ann Surg 248:475–486PubMed

16.

Lin N, Nitta H, Wakabayashi G (2013) Laparoscopic major hepatectomy: a systematic literature review and comparison of 3 techniques. Ann Surg 257:205–213CrossRefPubMed

17.

Jarufe N, Figueroa E, Muñoz C, Moisan F, Varas J, Valbuena JR, Bambs C, Martínez J, Pimentel F (2012) Anatomic hepatectomy as a definitive treatment for hepatolithiasis: a cohort study. HPB (Oxford) 14:604–610CrossRef

18.

Aldrighetti L, Arru M, Caterini R, Mukenge S, Ferla G (2001) Role of hepatic resection in the treatment of hepatolithiasis. Panminerva Med 43:89–93PubMed

19.

Schnitzbauer AA, Lang SA, Goessmann H, Nadalin S, Baumgart J, Farkas SA, Fichtner-Feigl S, Lorf T, Goralcyk A, Hörbelt R, Kroemer A, Loss M, Rümmele P, Scherer MN, Padberg W, Königsrainer A, Lang H, Obed A, Schlitt HJ (2012) Right portal vein ligation combined with in situ splitting induces rapid left lateral liver lobe hypertrophy enabling 2-staged extended right hepatic resection in small-for-size settings. Ann Surg 255:405–414CrossRefPubMed

20.

Sala S, Ardiles V, Ulla M, Alvarez F, Pekolj J, de Santibañes E (2012) Our initial experience with ALPPS technique: encouraging results. Updates Surg 64:167–172CrossRefPubMed

21.

Li J, Girotti P, Königsrainer I, Ladurner R, Königsrainer A, Nadalin S (2013) ALPPS in right trisectionectomy: a safe procedure to avoid postoperative liver failure? J Gastrointest Surg 17:956–961CrossRefPubMed

22.

Alvarez FA, Ardiles V, Sanchez Claria R, Pekolj J, de Santibañes E (2013) Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS): tips and tricks. J Gastrointest Surg 17:814–821CrossRefPubMed

23.

Dagher I, Gayet B, Tzanis D, Tranchart H, Fuks D, Soubrane O, Han HS, Kim KH, Cherqui D, O’Rourke N, Troisi RI, Aldrighetti L, Bjorn E, Abu Hilal M, Belli G, Kaneko H, Jarnagin WR, Lin C, Pekolj J, Buell JF, Wakabayashi G (2014) International experience for laparoscopic major liver resection. J Hepatobiliary Pancreat Sci 21:732–736CrossRefPubMed

24.

Imura S, Shimada M, Utsunomiya T, Morine Y, Wakabayashi G, Kaneko H (2014) Current status of laparoscopic liver surgery in Japan: results of a multicenter Japanese experience. Surg Today 44:1214–1219CrossRefPubMed

25.

Long TC, Bac NH, Thuan ND, le Dat T, Viet DQ, le Chuong CH (2014) Laparoscopic liver resection: 5-year experience at a single center. Surg Endosc 28:796–802CrossRefPubMed

26.

Troisi RI, Montalti R, Van Limmen JG, Cavaniglia D, Reyntjens K, Rogiers X, De Hemptinne B (2014) Risk factors and management of conversions to an open approach in laparoscopic liver resection: analysis of 265 consecutive cases. HPB (Oxford) 16:75–82CrossRef

27.

Tzanis D, Shivathirthan N, Laurent A, Abu Hilal M, Soubrane O, Kazaryan AM, Ettore GM, Van Dam RM, Lainas P, Tranchart H, Edwin B, Belli G, Campos RR, Pearce N, Gayet B, Dagher I (2013) European experience of laparoscopic major hepatectomy. J Hepatobiliary Pancreat Sci 20:120–124CrossRefPubMed

28.

Park JS, Han HS, Hwang DW, Yoon YS, Cho JY, Koh YS, Kwon CH, Kim KS, Kim SB, Kim YH, Kim HC, Chu CW, Lee DS, Kim HJ, Park SJ, Han SS, Song TJ, Ahn YJ, Yoo YK, Yu HC, Yoon DS, Lee MK, Lee HK, Min SK, Jeong CY, Hong SC, Choi IS, Hur KY (2012) Current status of laparoscopic liver resection in Korea. J Korean Med Sci 27:767–771CrossRefPubMedPubMedCentral

29.

Hwang DW, Han HS, Yoon YS, Cho JY, Kwon Y, Kim JH, Park JS, Yoon DS, Choi IS, Ahn KS, Kim YH, Kang KJ, Kim YH, Roh YH, Chu CW, Kim HC, Kang CM, Choi GH, Choi JS, Kim KS, Lee WJ, Yun SS, Kim HJ, Min SK, Lee HK, Song IS, Chun KS, Cho EH, Han SS, Park SJ (2013) Laparoscopic major liver resection in Korea: a multicenter study. J Hepatobiliary Pancreat Sci 20:125–130CrossRefPubMed

30.

Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection—2,804 patients. Ann Surg 250:831–841CrossRefPubMed

Title: Laparoscopic hepatectomy by curettage and aspiration: a report of 855 cases
Authors: XiuJun Cai
Lian Duan
YiFan Wang
Wenbin Jiang
Xiao Liang
Hong Yu
LiuXin Cai
Publication date: 01-07-2016
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 7/2016
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-015-4576-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic hepatectomy by curettage and aspiration: a report of 855 cases

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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