Impact of hybrid techniques on laparoscopic major hepatectomies. Issue 2 (February 2013)

• Record Type: Journal Article
• Authors: Nitta, Hiroyuki; Sasaki, Akira; Otsuka, Yuichiro; Tsuchiya, Masaru; Kaneko, Hironori; Wakabayashi, Go
• Is Part Of: Journal of hepato-biliary-pancreatic sciences. Volume 20:Issue 2(2013)
• Page Start: 111
• Page End: 113
• Publication Date: 2013-02
• Subjects: Liver -- Diseases -- Periodicals; Biliary tract -- Diseases -- Periodicals; Pancreas -- Diseases -- Periodicals; 617.556
• DOI: 10.1007/s00534-012-0557-z
• Languages: English
• ISSNs: 1868-6974

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="jhbp1977-sec-0001" sec-type="section"> <title>Purpose</title> <p>To assess the types of liver resection, surgical approaches, and surgical outcomes, a questionnaire survey was undertaken at 32 member hospitals of the Japanese Endoscopic Liver Study Group.</p> </sec> <sec id="jhbp1977-sec-0002" sec-type="section"> <title>Methods/results</title> <p>Laparoscopic liver resections were performed on 837 patients. Major hepatectomy, including trisectionectomy, hemihepatectomy, and sectionectomy, constituted 106 of the cases. Laparoscopic major hepatectomy (LMH) was performed as totally laparoscopic (<italic>n</italic> = 8) (7.5 %), hand‐assisted (<italic>n</italic> = 4) (3.8 %), or laparoscopy‐assisted (<italic>n</italic> = 94) (88.7 %). None of the 106 patients were converted to open surgery. Complications occurred in 18 (17.0 %) of the 106 patients. One patient (0.9 %) had bleeding, two (1.9 %) had liver failure, six (5.7 %) had bile leakage, two (1.9 %) had pleural effusion, five (4.7 %) had surgical site infection, one (0.9 %) had pneumonia, and one (0.9 %) had acute respiratory distress syndrome. There were no perioperative deaths or gas embolisms.</p> </sec> <sec id="jhbp1977-sec-0003" sec-type="section"> <title>Conclusion</title> <p>In conclusion, a major hepatectomy using a hybrid technique is safe and feasible.</p> </sec> </abstract>