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Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-05-2010 | Original article

Laparoscopic liver surgery: 8 years of multicenter Spanish register

Authors: Esteve Cugat, Noelia Pérez-Romero, Fernando Rotellar, Miguel A. Suárez, Mikel Gastaca, Vicente Artigas, Jorge-Juan Olsina, José Noguera, Sagrario Martínez, C. Moreno-Sanz, Joan Figueras, Javier Herrera, Hermógenes Díaz, Jordi Caballé, Fernando Pereira

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 3/2010

Abstract

Background

To present the data of laparoscopy in liver surgery and to assess the real indications and outcomes of this kind of approach.

Methods

From February 2000 to March 2008, a prospective study was performed on 182 patients from 15 Spanish surgical centres.

Results

A total of 308 lesions was collected. The mean age was 57 years old, and 61.5% were female. Among patients with cystic lesions we found: 45 simple cysts, 19 policystic diseases, 12 hydatidic cysts and 2 cystoadenomas. Among solid lesions (n = 104), we found 34 patients with benign pathology (12 focal nodular hyperplasia, 10 adenomas, 7 haemangyomas and 5 other lesions) and 70 with malignant pathology (38 metastases, 29 hepatocellular carcinomas, 2 cholangiocarcinomas and 1 lymphoma). The global rate of conversion was 8.8%. The global morbidity rate was 14.8%, and 5 of them required re-intervention.

Conclusions

Nowadays there are strong criteria for patients being submitted to laparoscopy procedures based both on type and location features. The postoperative morbidity rate is low, also for hepatocellular carcinoma in cirrhotic liver. In case of malignant pathology, we think the use of ultrasonography is mandatory to obtain a free margin, which implies a long-term survival rate.

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Title: Laparoscopic liver surgery: 8 years of multicenter Spanish register
Authors: Esteve Cugat
Noelia Pérez-Romero
Fernando Rotellar
Miguel A. Suárez
Mikel Gastaca
Vicente Artigas
Jorge-Juan Olsina
José Noguera
Sagrario Martínez
C. Moreno-Sanz
Joan Figueras
Javier Herrera
Hermógenes Díaz
Jordi Caballé
Fernando Pereira
Publication date: 01-05-2010
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 3/2010
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0170-y

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Laparoscopic liver surgery: 8 years of multicenter Spanish register

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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