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Techniques for performing laparoscopic liver resection in various hepatic locations

Cited 57 time in Web of Science Cited 53 time in Scopus
Authors
Han, Ho-Seong; Cho, Jai Young; Yoon, Yoo-Seok
Issue Date
2009-07
Publisher
SPRINGER TOKYO
Citation
JOURNAL OF HEPATO-BILIARY-PANCREATIC SURGERY; Vol.16; no.4; 427-432
Keywords
LaparoscopyHepatectomyOutcomeTechniqueHepatocellular carcinoma
Abstract
Many studies have recently reported on laparoscopic liver resection, although its development has been slow compared to laparoscopy in other fields. The indications for the location of laparoscopic liver resection have previously been limited to easily accessible lesions. Performing laparoscopic liver resection in the posterior and superior parts of the liver has been considered difficult due to inadequate exposure, the poor operative field and the difficulty with parenchymal dissection. Flexible endoscopy, high definition imaging and various kinds of equipment for parenchymal transection have been introduced for clinical use. In addition, much experience with this procedure has been accumulated at many centers. Accordingly, there are an increasing number of reports on laparoscopic liver resection in difficult locations. At our institution, the location of the tumor is no longer a limitation to laparoscopic liver resection. However, for safer laparoscopic liver resection, the patient positioning and trocar placement should be individualized according to the tumor location. The type of resection also may depend on the remaining liver`s functional capacity. We describe here the technical considerations for performing laparoscopic liver resection, including the technical considerations for performing laparoscopic liver resection for lesions located in the postero-superior segments of the liver.
ISSN
0944-1166
Language
English
URI
http://hdl.handle.net/10371/77900
DOI
https://doi.org/10.1007/s00534-009-0118-2
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College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
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