Clinical Evaluation of Laparoscopic Liver Resection for Liver Tumor_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LIU Tianxi , FANG Denghua , GUAN Binying , LI Yingxu , WANG Xingru , XIONG Jianwu

The First Department of Hepatobiliary Surgery， The Second People’s Hospital， Qujing City of Yunnan Province， Qujing 655000， Yunnan Province， China;

Corresponding author：

Keywords：

Laparoscope; Liver tumor; Liver resection

Video：

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Objective 　To approach the clinical effect，feasibility， and advantages and disadvantages of laparoscopic liver resection for liver tumor.
Methods 　The clinical data of 32 patients with liver tumor underwent laparoscopic liver resection from January 2009 to August 2011 in this hospital were analyzed retrospectively.
Results　 The laparoscopic liver resection of 32 patients with liver tumor were performed successfully，including 23 cases of primary liver cancer，5 cases of metastatic liver，3 cases of liver hemangioma，1 case of focal liver nodular hyperplasia. Laparoscopic liver resection included left lateral lobectomy （Ⅱ＋Ⅲ segments） in 17 cases，left internal lobectomy （Ⅳ segment） in 2 cases （left lateral lobe was already removed），left hemihepatectomy （Ⅱ＋Ⅲ＋Ⅳ segments） in 8 cases，Ⅴsegmentectomy in 1 case，and Ⅵ segmentectomy in 1 case，and Ⅲ，Ⅳ，and Ⅴ segments hemihepatectomy in 3 cases. The average operation time of hepatectomy was 75-285 min with an average 215 min. Intraoperative bleeding was 115-760 ml with an average 365 ml. No complications such as bile leakage，hemorrhage，air embolism, and so on happened. The time of gastrointestinal function recovery was 1-3 d. The hospital stay was 5-11 d with an average 6 d. Thirty-one cases were followed-up，the follow-up time was 6-32 months with an average 18 months，except one case was died of tumor recurrence and metastasis in one year after operation，the rest were alive，no tumor recurrence and metastasis happened.
Conclusions 　Laparoscopic liver resection for liver tumor has a small wound，less suffering，quick recovery，which is safe and feasible. The clinical effect is good．

Citation： LIU Tianxi,FANG Denghua,GUAN Binying,LI Yingxu,WANG Xingru,XIONG Jianwu. Clinical Evaluation of Laparoscopic Liver Resection for Liver Tumor. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(5): 526-529. doi: Copy

1.	Reich H，McGlynn F， DeCaprio J， et al. Laparoscopic excision of benign liver lesions [J]．Obstet Gynecol， 1991， 78(5 Pt 2)：956-958.
2.	周伟平，孙志宏，吴孟超，等. 经腹腔镜肝叶切除首例报道 [J]. 肝胆外科杂志，1994， 2(2)：82.
3.	Hüscher CG， Lirici MM， Chiodini S. Laparoscopic liver resections [J]. Semin Laparosc Surg， 1998， 5(3)：204-210.
4.	Cherqui D， Husson E，Hammoud R， et al. Laparoscopic liver resections：a feasibility study in 30 patients [J]. Ann Surg，2000， 232(6)：753-762.
5.	Mala T， Edwin B， Gladhaug I， et al. A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases [J]. Surg Endosc， 2002，16(7)：1059-1063.
6.	Gigot JF， Glineur D， Santiago Azagra J， et al. Laparoscopic liver resection for malignant liver tumors：preliminary results of a multicenter European study [J]. Ann Surg，2002， 236(1)：90-97.
7.	Shimada M， Hashizume M， Maehara S， et al. Laparoscopic hepatectomy for hepatocellular carcinoma [J]. Surg Endosc，2001，15(6)：541-544.
8.	Wayand W， Woisetschl?ger R. Laparoscopic resection of liver metastasis [J]. Chirurg， 1993， 64(3)：195-197.
9.	Azagra JS，Goergen M， Gilbart E， et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects [J]. Surg Endosc， 1996， 10(7)：758-761.
10.	蔡秀军，王一帆. 腹腔镜解剖性肝切除术 [J]. 肝胆外科杂志，2009， 17(1)：11-12.
11.	应声闻，曹利平. 腹腔镜肝切除术的进展 [J]. 科技通报，2006， 22(5)：630-633， 641.
12.	刘荣，周宁新，黄志强. 腹腔镜肝切除术的可行性 [J]. 中国微创外科杂志， 2005， 5(1)：18-20.
13.	Descottes B， Glineur D， Lachachi F， et al. Laparoscopic liver resection of benign liver tumors [J]. Surg Endosc， 2003，17(1)：23-30.
14.	Mala T， Edwin B， Gladhaug I， et al. Laparoscopic resection of the liver [J]. Tidsskr Nor Laegeforen， 2002， 122(29)：2768-2771.
15.	Costi R， Capelluto E， Sperduto N， et al. Laparoscopic right posterior hepatic bisegmentectomy (Segments Ⅶ - Ⅷ ) [J]. Surg Endosc， 2003， 17(1)：162.
16.	吕游，彭心宇，张示杰，等. 腹腔镜肝切除治疗肝肿瘤的临床应用体会 [J]. 中华肝胆外科杂志， 2011， 17(8)：672-674.
17.	Lee KF， Cheung YS， Chong CN， et al. Laparoscopic versus open hepatectomy for liver tumours： a case control study [J].Hong Kong Med J， 2007， 13(6)：442-448.
18.	Biertho L， Waage A， Gagner M. Laparoscopic hepatectomy [J]. Ann Chir， 2002， 127(3)：164-170.
19.	Kaneko H. Laparoscopic hepatectomy：indications and outcomes [J]. J Hepatobiliary Pancreat Surg， 2005， 12(6)：438-443.
20.	Bryant R， Laurent A， Tayar C， et al. Laparoscopic liver resectionunderstanding its role in current practice： the Henri Mondor Hospital experience [J]. Ann Surg， 2009， 250(1)：103-111.
21.	Sasaki A， Nitta H， Otsuka K， et al. Ten-year experience of totally laparoscopic liver resection in a single institution [J]. Br J Surg， 2009， 96(3)： 274-279.
22.	Teramoto K， Kawamura T， Takamatsu S， et al. Laparoscopic and thoracoscopic approaches for the treatment of hepatocellular carcinoma [J]. Am J Surg， 2005， 189(4)：474-478.
23.	Kaneko H， Takagi S， Otsuka Y， et al. Laparoscopic liver resection of hepatocellular carcinoma [J]. Am J Surg， 2005，189(2)：190-194.
24.	Robles R， Marín C， Abellán B， et al. A new approach to handassisted laparoscopic liver surgery [J]. Surg Endosc， 2008，22(11)：2357-2364.
25.	Belghiti J， Regimbeau JM， Durand F， et al. Resection of hepatocellular carcinoma：a European experience on 328 cases [J]. Hepatogastroenterology， 2002， 49(43)：41-46.

1. Reich H，McGlynn F， DeCaprio J， et al. Laparoscopic excision of benign liver lesions [J]．Obstet Gynecol， 1991， 78(5 Pt 2)：956-958.
2. 周伟平，孙志宏，吴孟超，等. 经腹腔镜肝叶切除首例报道 [J]. 肝胆外科杂志，1994， 2(2)：82.
3. Hüscher CG， Lirici MM， Chiodini S. Laparoscopic liver resections [J]. Semin Laparosc Surg， 1998， 5(3)：204-210.
4. Cherqui D， Husson E，Hammoud R， et al. Laparoscopic liver resections：a feasibility study in 30 patients [J]. Ann Surg，2000， 232(6)：753-762.
5. Mala T， Edwin B， Gladhaug I， et al. A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases [J]. Surg Endosc， 2002，16(7)：1059-1063.
6. Gigot JF， Glineur D， Santiago Azagra J， et al. Laparoscopic liver resection for malignant liver tumors：preliminary results of a multicenter European study [J]. Ann Surg，2002， 236(1)：90-97.
7. Shimada M， Hashizume M， Maehara S， et al. Laparoscopic hepatectomy for hepatocellular carcinoma [J]. Surg Endosc，2001，15(6)：541-544.
8. Wayand W， Woisetschl?ger R. Laparoscopic resection of liver metastasis [J]. Chirurg， 1993， 64(3)：195-197.
9. Azagra JS，Goergen M， Gilbart E， et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects [J]. Surg Endosc， 1996， 10(7)：758-761.
10. 蔡秀军，王一帆. 腹腔镜解剖性肝切除术 [J]. 肝胆外科杂志，2009， 17(1)：11-12.
11. 应声闻，曹利平. 腹腔镜肝切除术的进展 [J]. 科技通报，2006， 22(5)：630-633， 641.
12. 刘荣，周宁新，黄志强. 腹腔镜肝切除术的可行性 [J]. 中国微创外科杂志， 2005， 5(1)：18-20.
13. Descottes B， Glineur D， Lachachi F， et al. Laparoscopic liver resection of benign liver tumors [J]. Surg Endosc， 2003，17(1)：23-30.
14. Mala T， Edwin B， Gladhaug I， et al. Laparoscopic resection of the liver [J]. Tidsskr Nor Laegeforen， 2002， 122(29)：2768-2771.
15. Costi R， Capelluto E， Sperduto N， et al. Laparoscopic right posterior hepatic bisegmentectomy (Segments Ⅶ - Ⅷ ) [J]. Surg Endosc， 2003， 17(1)：162.
16. 吕游，彭心宇，张示杰，等. 腹腔镜肝切除治疗肝肿瘤的临床应用体会 [J]. 中华肝胆外科杂志， 2011， 17(8)：672-674.
17. Lee KF， Cheung YS， Chong CN， et al. Laparoscopic versus open hepatectomy for liver tumours： a case control study [J].Hong Kong Med J， 2007， 13(6)：442-448.
18. Biertho L， Waage A， Gagner M. Laparoscopic hepatectomy [J]. Ann Chir， 2002， 127(3)：164-170.
19. Kaneko H. Laparoscopic hepatectomy：indications and outcomes [J]. J Hepatobiliary Pancreat Surg， 2005， 12(6)：438-443.
20. Bryant R， Laurent A， Tayar C， et al. Laparoscopic liver resectionunderstanding its role in current practice： the Henri Mondor Hospital experience [J]. Ann Surg， 2009， 250(1)：103-111.
21. Sasaki A， Nitta H， Otsuka K， et al. Ten-year experience of totally laparoscopic liver resection in a single institution [J]. Br J Surg， 2009， 96(3)： 274-279.
22. Teramoto K， Kawamura T， Takamatsu S， et al. Laparoscopic and thoracoscopic approaches for the treatment of hepatocellular carcinoma [J]. Am J Surg， 2005， 189(4)：474-478.
23. Kaneko H， Takagi S， Otsuka Y， et al. Laparoscopic liver resection of hepatocellular carcinoma [J]. Am J Surg， 2005，189(2)：190-194.
24. Robles R， Marín C， Abellán B， et al. A new approach to handassisted laparoscopic liver surgery [J]. Surg Endosc， 2008，22(11)：2357-2364.
25. Belghiti J， Regimbeau JM， Durand F， et al. Resection of hepatocellular carcinoma：a European experience on 328 cases [J]. Hepatogastroenterology， 2002， 49(43)：41-46.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Evaluation of Laparoscopic Liver Resection for Liver Tumor

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