BACKGROUND: Liver resection for secondary malignancy has become the standard of care in appropriately staged patients, offering 5-year survival rates of >40%. Reports of laparoscopic liver resection have been published with increasing frequency over the last few years. In these small series approximately one-third of all operations have been for malignancy, but survival figures cannot be assessed yet. METHODS: A retrospective review of all laparoscopic liver resections performed by four surgeons in Brisbane between 1997 and 2004 was done. Follow-up was by regular patient review and telephone confirmation. RESULTS: Of 84 laparoscopic liver resections, 33 (39%) were for malignancy; 28 of these were for metastases (22 colorectal). Thirteen patients had left lateral sectionectomy with minimal morbidity; nine right hepatectomies were attempted and six cases of segmental or subsegmental resection were performed. Survival rates in 12 patients followed for 2 years with colorectal secondaries were 75% with 67% disease-free. DISCUSSION: Laparoscopic liver resection is feasible in highly selected cases of malignant disease. Patients need to be appropriately staged and surgeons need a broad experience of open liver surgery and advanced laparoscopic procedures.
BACKGROUND: Liver resection for secondary malignancy has become the standard of care in appropriately staged patients, offering 5-year survival rates of >40%. Reports of laparoscopic liver resection have been published with increasing frequency over the last few years. In these small series approximately one-third of all operations have been for malignancy, but survival figures cannot be assessed yet. METHODS: A retrospective review of all laparoscopic liver resections performed by four surgeons in Brisbane between 1997 and 2004 was done. Follow-up was by regular patient review and telephone confirmation. RESULTS: Of 84 laparoscopic liver resections, 33 (39%) were for malignancy; 28 of these were for metastases (22 colorectal). Thirteen patients had left lateral sectionectomy with minimal morbidity; nine right hepatectomies were attempted and six cases of segmental or subsegmental resection were performed. Survival rates in 12 patients followed for 2 years with colorectal secondaries were 75% with 67% disease-free. DISCUSSION: Laparoscopic liver resection is feasible in highly selected cases of malignant disease. Patients need to be appropriately staged and surgeons need a broad experience of open liver surgery and advanced laparoscopic procedures.
Authors: Stefan Schmidbauer; Klaus K Hallfeldt; Günther Sitzmann; Thorsten Kantelhardt; Arnold Trupka Journal: Ann Surg Date: 2002-01 Impact factor: 12.969
Authors: Jean-François Gigot; David Glineur; Juan Santiago Azagra; Martine Goergen; Marc Ceuterick; Mario Morino; José Etienne; Jacques Marescaux; Didier Mutter; Ludo van Krunckelsven; Bernard Descottes; Dominique Valleix; François Lachachi; Claude Bertrand; Baudouin Mansvelt; Guy Hubens; Jean-Pierre Saey; Romain Schockmel Journal: Ann Surg Date: 2002-07 Impact factor: 12.969
Authors: Joel W Lewin; Nicholas A O'Rourke; Adrian K H Chiow; Richard Bryant; Ian Martin; Leslie K Nathanson; David J Cavallucci Journal: HPB (Oxford) Date: 2015-12-10 Impact factor: 3.647
Authors: Roberto I Troisi; Roberto Montalti; Jurgen G M Van Limmen; Daniele Cavaniglia; Koen Reyntjens; Xavier Rogiers; Bernard De Hemptinne Journal: HPB (Oxford) Date: 2013-03-12 Impact factor: 3.647
Authors: Adrian K H Chiow; Joel Lewin; Bavahuna Manoharan; David Cavallucci; Richard Bryant; Nicholas O'Rourke Journal: HPB (Oxford) Date: 2014-09-23 Impact factor: 3.647
Authors: Alfredo D Guerron; Shamil Aliyev; Orhan Agcaoglu; Erol Aksoy; Halit Eren Taskin; Federico Aucejo; Charles Miller; John Fung; Eren Berber Journal: Surg Endosc Date: 2012-10-10 Impact factor: 4.584