01-02-2013 | Topics
Laparoscopic major hepatectomy: pure laparoscopic approach versus hand-assisted technique
Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 2/2013
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Laparoscopic liver resections are being performed with increasing frequency, with several groups having reported minimally invasive approaches for major anatomic hepatic resections. Some surgeons favor a pure laparoscopic approach, while others prefer a hand-assisted approach for major laparoscopic liver resections. There are clear advantages and disadvantages to a hand-assisted technique. The purpose of this study is to summarize the literature comparing pure laparoscopic and hand-assisted approaches for minimally invasive hepatic resection, and to describe our approach in 432 laparoscopic liver resections.