European experience of laparoscopic major hepatectomy. Issue 2 (February 2013)
- Record Type:
- Journal Article
- Title:
- European experience of laparoscopic major hepatectomy. Issue 2 (February 2013)
- Main Title:
- European experience of laparoscopic major hepatectomy
- Authors:
- Tzanis, Dimitrios
Shivathirthan, Nairuthya
Laurent, Alexis
Abu Hilal, Mohammad
Soubrane, Olivier
Kazaryan, Airazat M.
Ettore, Giuseppe Maria
Van Dam, Ronald M.
Lainas, Panagiotis
Tranchart, Hadrien
Edwin, Bjorn
Belli, Giulio
Campos, Ricardo Robles
Pearce, Neil
Gayet, Brice
Dagher, Ibrahim - Abstract:
- <abstract abstract-type="main"> <title>Abstract</title> <sec id="jhbp1979-sec-0001" sec-type="section"> <title>Background/purpose</title> <p>Laparoscopic hepatectomies have seen a worldwide proliferation. Major anatomic resections, which were initially considered unsuitable for laparoscopy, are currently confined to a few centers of expertise. The aim of this study was to discuss the current trends and techniques in laparoscopic major hepatectomy in Europe.</p> </sec> <sec id="jhbp1979-sec-0002" sec-type="section"> <title>Methods</title> <p>The prospective databases of ten European centers were combined to provide answers to a questionnaire that had been addressed to all European teams known to perform laparoscopic liver surgery.</p> </sec> <sec id="jhbp1979-sec-0003" sec-type="section"> <title>Results</title> <p>Between 1996 and 2011 a total of 2245 laparoscopic liver resections have been carried out, of which 495 (22 %) were major resections. The proportion of laparoscopic right and left hepatectomies varied between 4 and 40 % of all major hepatectomies of the same type. Benign, primary malignant and metastatic lesions were, respectively, 22.4, 19.6 and 58 % of all indications. The different techniques and approaches, as regards hand assistance, hepatic inflow and outflow control, liver mobilization and concomitant colectomies, are discussed.</p> </sec> <sec id="jhbp1979-sec-0004" sec-type="section"> <title>Conclusions</title> <p>To date, an important level of experience<abstract abstract-type="main"> <title>Abstract</title> <sec id="jhbp1979-sec-0001" sec-type="section"> <title>Background/purpose</title> <p>Laparoscopic hepatectomies have seen a worldwide proliferation. Major anatomic resections, which were initially considered unsuitable for laparoscopy, are currently confined to a few centers of expertise. The aim of this study was to discuss the current trends and techniques in laparoscopic major hepatectomy in Europe.</p> </sec> <sec id="jhbp1979-sec-0002" sec-type="section"> <title>Methods</title> <p>The prospective databases of ten European centers were combined to provide answers to a questionnaire that had been addressed to all European teams known to perform laparoscopic liver surgery.</p> </sec> <sec id="jhbp1979-sec-0003" sec-type="section"> <title>Results</title> <p>Between 1996 and 2011 a total of 2245 laparoscopic liver resections have been carried out, of which 495 (22 %) were major resections. The proportion of laparoscopic right and left hepatectomies varied between 4 and 40 % of all major hepatectomies of the same type. Benign, primary malignant and metastatic lesions were, respectively, 22.4, 19.6 and 58 % of all indications. The different techniques and approaches, as regards hand assistance, hepatic inflow and outflow control, liver mobilization and concomitant colectomies, are discussed.</p> </sec> <sec id="jhbp1979-sec-0004" sec-type="section"> <title>Conclusions</title> <p>To date, an important level of experience of laparoscopic liver resection has been accumulated in Europe, and experience of major hepatectomies is constantly increasing. However, they remain technically very demanding procedures which should be confined to expert surgeons who have already acquired considerable experience with simpler laparoscopic liver resections.</p> </sec> </abstract> … (more)
- Is Part Of:
- Journal of hepato-biliary-pancreatic sciences. Volume 20:Issue 2(2013)
- Journal:
- Journal of hepato-biliary-pancreatic sciences
- Issue:
- Volume 20:Issue 2(2013)
- Issue Display:
- Volume 20, Issue 2 (2013)
- Year:
- 2013
- Volume:
- 20
- Issue:
- 2
- Issue Sort Value:
- 2013-0020-0002-0000
- Page Start:
- 120
- Page End:
- 124
- Publication Date:
- 2013-02
- Subjects:
- Liver -- Diseases -- Periodicals
Biliary tract -- Diseases -- Periodicals
Pancreas -- Diseases -- Periodicals
617.556 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1868-6982 ↗
http://www.springerlink.com/content/121581 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1007/s00534-012-0554-2 ↗
- Languages:
- English
- ISSNs:
- 1868-6974
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4997.660000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 3954.xml