Background: Despite the increasing number of laparoscopic hepatectomy, there is little published experience.
Aim: To evaluate the results of a series of hepatectomy completely done with laparoscopic approach.
Methods: This is a retrospective study of 61 laparoscopic liver resections. Were studied conversion to open technique; mean age; gender, mortality; complications; type of hepatectomy; surgical techniques applied; and simultaneous operations.
Results: The conversion to open technique was necessary in one case (1.6%). The mean age was 54.7 years (17-84), 34 were men. Three patients (4.9%) had complications. One died postoperatively (mortality 1.6%) and no deaths occurred intraoperatively. The most frequent type was right hepatectomy (37.7%), followed by bisegmentectomy (segments II-III and VI-VII). Were not used hemi-Pringle maneuvers or assisted technic. Six patients (8.1%) underwent simultaneous procedures (hepatectomy and colectomy).
Conclusion: Laparoscopic hepatectomy is feasible procedure and can be considered the gold standard for various conditions requiring liver resections for both benign to malignant diseases.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676382 | PMC |
| http://dx.doi.org/10.1590/s0102-67202014000300008 | DOI Listing |
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