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Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location
DC Field | Value | Language |
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dc.contributor.author | Cho, Jai Young | - |
dc.contributor.author | Han, Ho-Seong | - |
dc.contributor.author | Yoon, Yoo-Seok | - |
dc.contributor.author | Shin, Sang-Hyun | - |
dc.date.accessioned | 2010-04-02T05:55:08Z | - |
dc.date.available | 2010-04-02T05:55:08Z | - |
dc.date.issued | 2008-06-24 | - |
dc.identifier.citation | Surgery. 2008 ;144(1):32-8. | en |
dc.identifier.issn | 1532-7361 (Electronic) | - |
dc.identifier.issn | 0039-6060 (print) | - |
dc.identifier.uri | https://hdl.handle.net/10371/62449 | - |
dc.description.abstract | BACKGROUND: Laparoscopic liver resection is usually limited to the anterolateral segments of the liver (AL; Segments II, III, V, VI, and the inferior part of IV). We evaluated the feasibility of laparoscopic liver resection in the posterosuperior segments (PS; Segments I, VII, VIII, and the superior part of IV). METHOD: We analyzed retrospectively the clinical data of 82 patients who underwent laparoscopic liver resection for tumors from September 2003 to September 2007. Patients were classified into 2 groups according to tumor location: group AL (n=54) and group PS (n=28). RESULTS: There was no mortality, reoperation, or major complications. Four (5%) conversions to open procedures were necessary. There were no differences in tumor characteristics, including mean tumor size and number of tumors between 2 groups (P = .427 and .611); however, there was a greater proportion of deeply seated tumors in group PS than group AL (P < .001). The predominant type of resection was a minor liver resection (left lateral sectionectomy, segmentectomy, or tumorectomy) in group AL, and a major liver resection (hemihepatectomy or right posterior sectionectomy) in group PS (P < .001). The median operative time in group PS was greater than that in group AL (320 vs 210 min; P < .001). There were no differences in the conversion rate (P = .113), median blood loss (P = .214), rate of intraoperative transfusion (P = .061), median tumor-free margin (P = .613), median hospital stay (P = .166), and rate of complications (P = .148) between the 2 groups. CONCLUSION: Laparoscopic liver resection for tumors located in PS is more difficult than in AL but is feasible in selected patients. | en |
dc.language.iso | en | en |
dc.publisher | Mosby | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Aged, 80 and over | en |
dc.subject | Feasibility Studies | en |
dc.subject | Female | en |
dc.subject | Hepatectomy/*methods | en |
dc.subject | Humans | en |
dc.subject | Laparoscopy | en |
dc.subject | Liver/*anatomy & histology/*surgery | en |
dc.subject | Liver Neoplasms/*surgery | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Retrospective Studies | en |
dc.subject | Treatment Outcome | en |
dc.title | Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 조재영 | - |
dc.contributor.AlternativeAuthor | 한호성 | - |
dc.contributor.AlternativeAuthor | 윤유석 | - |
dc.contributor.AlternativeAuthor | 신상현 | - |
dc.identifier.doi | 10.1016/j.surg.2008.03.020 | - |
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