[Operational line of laparoscopic liver resections].

Objective: To evaluate the feasibility and indications of laparoscopic liver resections.

Methods: Twenty-seven patients with liver lesions, 17 men and 10 women, aged 31 - 67, including 14 cases of primary liver cancer, 6 cases of liver hemangioma, 2 cases of liver abscess, 1 case of hilar carcinoma, 1 case of hepatic adenoma, 1 case of hepatic focal nodular hyperplasia, 1 case of liver inflammatory granuloma, and 1 case of infected liver cyst, underwent laparoscopic liver resection, partial liver resection in 17 cases and anatomical left liver resections in 10 cases, consecutively from July 2002 to April 2003. The clinical data were analyzed.

Results: All of the 27 operations were performed smoothly with an average operation time of 184 min and the average blood loss during operation of 441 ml. The average postoperative hospital stay was 5 days. No complication occurred.

Conclusion: A promising minimally invasive technique, laparoscopic liver resection can be carried out safely and effectively by experienced surgeons as one of the first choices for the loci limited to left liver and part of the loci in right liver.