Top

Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-07-2009 | Topics

Laparoscopic liver resection: a systematic review

Authors: Luca Viganò, Claude Tayar, Alexis Laurent, Daniel Cherqui

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 4/2009

Abstract

Background

Outcomes of laparoscopic liver resection (LLR) are not clarified. The objective of this article is to depict the state of the art of LLR by means of a systematic review of the literature.

Methods

Studies about LLR published before September 2008 were identified and their results summarized.

Results

Indications for laparoscopic hepatectomy do not differ from those for open surgery. Technical feasibility is the only limiting factor. Bleeding is the major intraoperative concern, but, if managed by an expert surgeon, do not worsen outcomes. Hand assistance can be useful in selected cases to avoid conversion. Patient selection must take both tumor location and size into consideration. Potentially good candidates are patients with peripheral lesions requiring limited hepatectomy or left lateral sectionectomy; their outcomes, including reduced blood loss, morbidity, and hospital stay, are better than those of their laparotomic counterparts. The same advantages have been observed in cirrhotics. Laparoscopic major hepatectomies and resections of postero-superior segments need further evaluation. The results of LLR in cancer patients seem to be similar to those obtained with the laparotomic approach, especially in cases of hepatocellular carcinoma, but further analysis is required.

Conclusions

Laparoscopic liver resection is safe and feasible. The laparoscopic approach can be recommended for peripheral lesions requiring limited hepatectomy or left lateral sectionectomy. Preliminary oncological results suggest non-inferiority of laparoscopic to laparotomic procedures.

Gagner M, Rheault M, Dubuc J. Laparoscopic partial hepatectomy for liver tumor. Surg Endosc. 1993;6:99.

Cherqui D. Laparoscopic liver resection. Br J Surg. 2003;90(6):644–6.PubMedCrossRef

Cherqui D, Husson E, Hammoud R, et al. Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg. 2000;232(6):753–62.PubMedCrossRef

Descottes B, Lachachi F, Sodji M, et al. Early experience with laparoscopic approach for solid liver tumors: initial 16 cases. Ann Surg. 2000;232(5):641–5.PubMedCrossRef

Hamy A, Paineau J, Savigny JL, Visset J. Laparoscopic hepatic surgery. Report of a clinical series of 11 patients. Int Surg. 1998;83(1):33–5.PubMed

Samama G, Chiche L, Bréfort JL, Le Roux Y. Laparoscopic anatomical hepatic resection. Report of four left lobectomies for solid tumors. Surg Endosc. 1998;12(1):76–8.PubMedCrossRef

Gugenheim J, Mazza D, Katkhouda N, Goubaux B, Mouiel J. Laparoscopic resection of solid liver tumours. Br J Surg. 1996;83(3):334–5.PubMedCrossRef

Farges O, Jagot P, Kirstetter P, Marty J, Belghiti J. Prospective assessment of the safety and benefit of laparoscopic liver resections. J Hepatobiliary Pancreat Surg. 2002;9(2):242–8.PubMedCrossRef

Soubrane O, Cherqui D, Scatton O, et al. Laparoscopic left lateral sectionectomy in living donors: safety and reproducibility of the technique in a single center. Ann Surg. 2006;244(5):815–20.PubMedCrossRef

10.

Dulucq JL, Wintringer P, Stabilini C, Berticelli J, Mahajna A. Laparoscopic liver resections: a single center experience. Surg Endosc. 2005;19(7):886–91.PubMedCrossRef

11.

Dagher I, Proske JM, Carloni A, Richa H, Tranchart H, Franco D. Laparoscopic liver resection: results for 70 patients. Surg Endosc. 2007;21(4):619–24.PubMedCrossRef

12.

Vibert E, Perniceni T, Levard H, Denet C, Shahri NK, Gayet B. Laparoscopic liver resection. Br J Surg. 2006;93(1):67–72.PubMedCrossRef

13.

Huscher CG, Lirici MM, Chiodini S. Laparoscopic liver resections. Semin Laparosc Surg. 1998;5:204–10.PubMed

14.

Morino M, Morra I, Rosso E, Miglietta C, Garrone C. Laparoscopic vs open hepatic resection: a comparative study. Surg Endosc. 2003;17(12):1914–8.PubMedCrossRef

15.

Croce E, Olmi S, Bertolini A, Erba L, Magnone S. Laparoscopic liver resection with radiofrequency. Hepatogastroenterology. 2003;50(54):2088–92.PubMed

16.

Borzellino G, Ruzzenente A, Minicozzi AM, Giovinazzo F, Pedrazzani C, Guglielmi A. Laparoscopic hepatic resection. Surg Endosc. 2006;20(5):787–90.PubMedCrossRef

17.

Belli G, Fantini C, D’Agostino A, Belli A, Russolillo N. Laparoscopic liver resections for hepatocellular carcinoma (HCC) in cirrhotic patients. HPB. 2004;6(4):236–46.PubMed

18.

Piccolboni D, Ciccone F, Settembre A, Corcione F. Liver resection with intraoperative and laparoscopic ultrasound: report of 32 cases: ultrasonic shears device for liver parenchymal transection. Surg Endosc. 2008;22(6):1421–6.PubMedCrossRef

19.

Santambrogio R, Opocher E, Ceretti AP, et al. Impact of intraoperative ultrasonography in laparoscopic liver surgery. Surg Endosc. 2007;21(2):181–8.PubMedCrossRef

20.

Pulitanò C, Catena M, Arru M, et al. Laparoscopic liver resection without portal clamping: a prospective evaluation. Surg Endosc. 2008;22(10):2196–200.PubMedCrossRef

21.

Bachellier P, Ayav A, Pai M, et al. Laparoscopic liver resection assisted with radiofrequency. Am J Surg. 2007;193(4):427–30.PubMedCrossRef

22.

Abu Hilal M, McPhail MJ, Zeidan B, et al. Laparoscopic versus open left lateral hepatic sectionectomy: a comparative study. Eur J Surg Oncol. 2008;34(12):1285–8.PubMed

23.

Spencer L, Metcalfe MS, Strickland AD, Elsey EJ, Robertson GS, Lloyd DM. Lessons from laparoscopic liver surgery: a nine-year case series. HPB Surg. 2008;2008:458137.PubMedCrossRef

24.

Alkari B, Owera A, Ammori BJ. Laparoscopic liver resection: preliminary results from a UK centre. Surg Endosc. 2008;22(10):2201–7.PubMedCrossRef

25.

Polignano FM, Quyn AJ, de Figueiredo RS, Henderson NA, Kulli C, Tait IS. Laparoscopic versus open liver segmentectomy: prospective, case-matched, intention-to-treat analysis of clinical outcomes and cost effectiveness. Surg Endosc. 2008;22(12):2564–70.PubMedCrossRef

26.

Troisi R, Montalti R, Smeets P, et al. The value of laparoscopic liver surgery for solid benign hepatic tumors. Surg Endosc. 2008;22(1):38–44.PubMedCrossRef

27.

Topal B, Fieuws S, Aerts R, Vandeweyer H, Penninckx F. Laparoscopic versus open liver resection of hepatic neoplasms: comparative analysis of short-term results. Surg Endosc. 2008;22(10):2208–13.PubMedCrossRef

28.

Rau HG, Buttler E, Meyer G, Schardey HM, Schildberg FW. Laparoscopic liver resection compared with conventional partial hepatectomy—a prospective analysis. Hepatogastroenterology. 1998;45(24):2333–8.PubMed

29.

Mala T, Edwin B, Gladhaug I, et al. A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases. Surg Endosc. 2002;16(7):1059–63.PubMedCrossRef

30.

Robles R, Marín C, Abellán B, López A, Pastor P, Parrilla P. A new approach to hand-assisted laparoscopic liver surgery. Surg Endosc. 2008;22(11):2357–64.PubMedCrossRef

31.

Popescu I, Tomulescu V, Hrehoret D, Boeti-Sarbu P, Stanciulea O, Kosa A. Laparoscopic liver surgery. Analysis of a series of 61 patients. Rom J Gastroenterol. 2005;14(4):343–9.PubMed

32.

Berends FJ, Meijer S, Prevoo W, Bonjer HJ, Cuesta MA. Technical considerations in laparoscopic liver surgery. Surg Endosc. 2001;15(8):794–8.PubMedCrossRef

33.

Kánya L, Botos A, Bezsilla J, Szederkényi I, Tóth D. Laparoscopic surgery of focal lesions of the liver. Acta Chir Hung. 1999;38(2):187–9.PubMed

34.

Descottes B, Glineur D, Lachachi F, et al. Laparoscopic liver resection of benign liver tumors. Surg Endosc. 2003;17(1):23–30.PubMedCrossRef

35.

Mala T, Edwin B, Rosseland AR, Gladhaug I, Fosse E, Mathisen O. Laparoscopic liver resection: experience of 53 procedures at a single center. J Hepatobiliary Pancreat Surg. 2005;12(4):298–303.PubMedCrossRef

36.

Kaneko H. Laparoscopic hepatectomy: indications and outcomes. J Hepatobiliary Pancreat Surg. 2005;12(6):438–43.PubMedCrossRef

37.

Cai XJ, Yu H, Liang X, et al. Laparoscopic hepatectomy by curettage and aspiration. Experiences of 62 cases. Surg Endosc. 2006;20(10):1531–5.PubMedCrossRef

38.

Koffron AJ, Auffenberg G, Kung R, Abecassis M. Evaluation of 300 minimally invasive liver resections at a single institution: less is more. Ann Surg. 2007;246(3):385–92.PubMedCrossRef

39.

Chen HY, Juan CC, Ker CG. Laparoscopic liver surgery for patients with hepatocellular carcinoma. Ann Surg Oncol. 2008;15(3):800–6.PubMedCrossRef

40.

Buell JF, Thomas MT, Rudich S, et al. Experience with more than 500 minimally invasive hepatic procedures. Ann Surg. 2008;248(3):475–86.PubMed

41.

Cho JY, Han HS, Yoon YS, Shin SH. Experiences of laparoscopic liver resection including lesions in the posterosuperior segments of the liver. Surg Endosc. 2008;22(11):2344–9.PubMedCrossRef

42.

Bryant R, Laurent A, Tayar C, Cherqui D. Laparoscopic liver resection—understanding its role in current practice. The Henri Mondor Hospital experience. 2009 (in press).

43.

Sasaki A, Nitta H, Otsuka K, Takahara, T, Fujita T, Wakabayashi G. Total endoscopic liver resections: single institution’s 10-year experience. 2009 (in press).

44.

Ardito F, Tayar C, Laurent A, Karoui M, Loriau J, Cherqui D. Laparoscopic liver resection for benign disease. Arch Surg. 2007;142(12):1188–93.PubMedCrossRef

45.

Cai XJ, Yang J, Yu H, et al. Clinical study of laparoscopic versus open hepatectomy for malignant liver tumors. Surg Endosc. 2008;22(11):2350–6.PubMedCrossRef

46.

O’Rourke N, Shaw I, Nathanson L, Martin I, Fielding G. Laparoscopic resection of hepatic colorectal metastases. HPB. 2004;6(4):230–5.PubMed

47.

Fong Y, Brennan MF, Turnbull A, et al. Gallbladder cancer discovered during laparoscopic surgery—potential for iatrogenic dissemination. Arch Surg. 1993;128:1054–6.PubMed

48.

Johnstone PA, Rohde DC, Swartz SE, Fetter JE, Wexner SD. Port site recurrences after laparoscopic and thoracoscopic procedures in malignancy. J Clin Oncol. 1996;14(6):1950–6.PubMed

49.

Viganò L, Cherqui D. Laparoscopic liver resection in “Malignant liver tumors. Current and emerging therapies”, 3rd edn. Oxford: Blackwell; 2008.

50.

Belli G, Fantini C, D’Agostino A, et al. Laparoscopic versus open liver resection for hepatocellular carcinoma in patients with histologically proven cirrhosis: short- and middle-term results. Surg Endosc. 2007;21(11):2004–11.PubMedCrossRef

51.

Laurent A, Cherqui D, Lesurtel M, Brunetti F, Tayar C, Fagniez PL. Laparoscopic liver resection for subcapsular hepatocellular carcinoma complicating chronic liver disease. Arch Surg. 2003;138(7):763–9.PubMedCrossRef

52.

Cherqui D, Laurent A, Tayar C, et al. Laparoscopic liver resection for peripheral hepatocellular carcinoma in patients with chronic liver disease: midterm results and perspectives. Ann Surg. 2006;243(4):499–506.PubMedCrossRef

53.

Shimada M, Hashizume M, Maehara S, et al. Laparoscopic hepatectomy for hepatocellular carcinoma. Surg Endosc. 2001;15(6):541–4.PubMedCrossRef

54.

Kaneko H, Takagi S, Otsuka Y, et al. Laparoscopic liver resection of hepatocellular carcinoma. Am J Surg. 2005;189(2):190–4.PubMedCrossRef

55.

Dagher I, Lainas P, Carloni A, et al. Laparoscopic liver resection for hepatocellular carcinoma. Surg Endosc. 2008;22(2):372–8.PubMedCrossRef

56.

Teramoto K, Kawamura T, Takamatsu S, et al. Laparoscopic and thoracoscopic approaches for the treatment of hepatocellular carcinoma. Am J Surg. 2005;189(4):474–8.PubMedCrossRef

57.

Santambrogio R, Aldrighetti L, Barabino M, et al. Laparoscopic liver resections for hepatocellular carcinoma. Is it a feasible option for patients with liver cirrhosis? Langenbecks Arch Surg. 2009;394(2):255–64.PubMedCrossRef

58.

Huang MT, Lee WJ, Wang W, Wei PL, Chen RJ. Hand-assisted laparoscopic hepatectomy for solid tumor in the posterior portion of the right lobe: initial experience. Ann Surg. 2003;238(5):674–9.PubMedCrossRef

59.

Cho JY, Han HS, Yoon YS, Shin SH. Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location. Surgery. 2008;144(1):32–8.PubMedCrossRef

60.

Schmandra TC, Mierdl S, Bauer H, Gutt C, Hanisch E. Transoesophageal echocardiography shows high risk of gas embolism during laparoscopic hepatic resection under carbon dioxide pneumoperitoneum. Br J Surg. 2002;89(7):870–6.PubMedCrossRef

61.

Watanabe Y, Sato M, Ueda S, et al. Laparoscopic hepatic resection: a new and safe procedure by abdominal wall lifting method. Hepatogastroenterology. 1997;44(13):143–7.PubMed

62.

Biertho L, Waage A, Gagner M. Laparoscopic hepatectomy. Ann Chir. 2002;127(3):164–70.PubMedCrossRef

63.

Tang CN, Tsui KK, Ha JP, Yang GP, Li MK. A single-centre experience of 40 laparoscopic liver resections. Hong Kong Med J. 2006;12(6):419–25.PubMed

64.

Bazin JE, Gillart T, Rasson P, Conio N, Aigouy L, Schoeffler P. Haemodynamic conditions enhancing gas embolism after venous injury during laparoscopy: a study in pigs. Br J Anaesth. 1997;78(5):570–5.PubMed

65.

Palmer M, Miller CW, van Way CW 3rd, Orton EC. Venous gas embolism associated with argon-enhanced coagulation of the liver. J Invest Surg. 1993;6(5):391–9.PubMedCrossRef

66.

Simillis C, Constantinides VA, Tekkis PP, et al. Laparoscopic versus open hepatic resections for benign and malignant neoplasms—a meta-analysis. Surgery. 2007;141(2):203–11.PubMedCrossRef

67.

Chang S, Laurent A, Tayar C, Karoui M, Cherqui D. Laparoscopy as a routine approach for left lateral sectionectomy. Br J Surg. 2007;94(1):58–63.PubMedCrossRef

68.

Fong Y, Jarnagin W, Conlon KC, DeMatteo R, Dougherty E, Blumgart LH. Hand-assisted laparoscopic liver resection: lessons from an initial experience. Arch Surg. 2000;135:854–9.PubMedCrossRef

69.

Gayet B, Cavaliere D, Vibert E, et al. Totally laparoscopic right hepatectomy. Am J Surg. 2007;194(5):685–9.PubMedCrossRef

70.

O’Rourke N, Fielding G. Laparoscopic right hepatectomy: surgical technique. J Gastrointest Surg. 2004;8(2):213–6.PubMedCrossRef

71.

Dagher I, Caillard C, Proske JM, Carloni A, Lainas P, Franco D. Laparoscopic right hepatectomy: original technique and results. J Am Coll Surg. 2008;206(4):756–60.PubMed

72.

Koffron AJ, Kung RD, Auffenberg GB, Abecassis MM. Laparoscopic liver surgery for everyone: the hybrid method. Surgery. 2007;142:463–8.PubMedCrossRef

73.

Min SK, Han HS, Kim SW, Park YH, Lee HK, Lee JH. Initial experiences with laparoscopy-assisted and total laparoscopy for anatomical liver resection: a preliminary study. J Korean Med Sci. 2006;21:69–74.PubMedCrossRef

74.

Koffron AJ, Kung RD, Baker T, Fryer J, Clark L, Abecassis MM. Laparoscopic-assisted right lobe donor hepatectomy. Am J Transplant. 2006;6:2522–5.PubMedCrossRef

75.

Lesurtel M, Cherqui D, Laurent A, Tayar C, Fagniez PL. Laparoscopic versus open left lateral hepatic lobectomy: a case-control study. J Am Coll Surg. 2003;196(2):236–42.PubMedCrossRef

76.

Aldrighetti L, Pulitane C, Catena M, et al. A prospective evaluation of laparoscopic versus open left lateral hepatic sectionectomy. J Gastrointest Surg. 2008;12(3):457–62.PubMedCrossRef

77.

Lee KF, Cheung YS, Chong CN, et al. Laparoscopic versus open hepatectomy for liver tumours: a case control study. Hong Kong Med J. 2007;13(6):442–8.PubMed

78.

Buell JF, Thomas MJ, Doty TC, et al. An initial experience and evolution of laparoscopic hepatic resectional surgery. Surgery. 2004;136(4):804–11.PubMedCrossRef

79.

Cai X, Wang Y, Yu H, Liang X, Peng S. Laparoscopic hepatectomy for hepatolithiasis: a feasibility and safety study in 29 patients. Surg Endosc. 2007;21(7):1074–8.PubMedCrossRef

80.

Belghiti J, Hiramatsu K, Benoist S, Massault P, Sauvanet A, Farges O. Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection. J Am Coll Surg. 2000;191(1):38.PubMedCrossRef

81.

Lai EC, Fan ST, Lo CM, Chu KM, Liu CL, Wong J. Hepatic resection for hepatocellular carcinoma. An audit of 343 patients. Ann Surg. 1995;221(3):291–8.PubMedCrossRef

82.

Abdel-Atty MY, Farges O, Jagot P, Belghiti J. Laparoscopy extends the indications for liver resection in patients with cirrhosis. Br J Surg. 1999;86(11):1397–400.PubMedCrossRef

83.

Belli G, Fantini C, D’Agostino A, Belli A, Cioffi L, Russolillo N. Laparoscopic left lateral hepatic lobectomy: a safer and faster technique. J Hepatobiliary Pancreat Surg. 2006;13(2):149–54.PubMedCrossRef

84.

Cherqui D, Soubrane O, Husson E, et al. Laparoscopic living donor hepatectomy for liver transplantation in children. Lancet. 2002;359(9304):392–6.PubMedCrossRef

85.

Gigot JF, Glineur D, Santiago Azagra J, et al. Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann Surg. 2002;236(1):90–7.PubMedCrossRef

86.

Jaeck D, Bachellier P, Oussoultzoglou E, Weber JC, Wolf P. Surgical resection of hepatocellular carcinoma. Post-operative outcome and long-term results in Europe: an overview. Liver Transpl. 2004;10[Suppl 1]:S58–63.PubMedCrossRef

87.

Fong Y, Sun RL, Jarnagin W, Blumgart LH. An analysis of 412 cases of hepatocellular carcinoma at a Western center. Ann Surg. 1999;229(6):790–9.PubMedCrossRef

88.

Poon RT, Fan ST, Lo CM, et al. Improving survival results after resection of hepatocellular carcinoma: a prospective study of 377 patients over 10 years. Ann Surg. 2001;234(1):63–70.PubMedCrossRef

89.

Adam R, Azoulay D, Castaing D, et al. Liver resection as a bridge to transplantation for hepatocellular carcinoma on cirrhosis: a reasonable strategy? Ann Surg. 2003;238(4):508–18.PubMed

90.

Laurent A, Tayar C, Andréoletti M, Lauzet JY, Merle JC, Cherqui D. Laparoscopic liver resection facilitates salvage liver transplantation for hepatocellular carcinoma. J Hepatobiliary Pancreat Surg. Epub 12 Mar 2009.

Title: Laparoscopic liver resection: a systematic review
Authors: Luca Viganò
Claude Tayar
Alexis Laurent
Daniel Cherqui
Publication date: 01-07-2009
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 4/2009
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0120-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic liver resection: a systematic review

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 4/2009

Real time elastography for noninvasive diagnosis of liver fibrosis

Hepatocellular carcinoma with extensive peliotic change

The introduction of a simple maneuver to reduce the risk of postoperative bleeding after major hepatectomies

Laparoscopic liver resection: how far can we go?

Estimation of indocyanine green elimination rate constant k and retention rate at 15 min using patient age, weight, bilirubin, and albumin

The effect of calcitonin gene-related peptide on healing of intestinal anastomosis in rats with experimental obstructive jaundice