M Abu Hilal1, N W Pearce. 1. Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, UK. abu_hlal@yahoo.com
Abstract
BACKGROUND: Laparoscopic left lateral sectionectomy (LLLS) is procedure with potential for future transformation into a primarily laparoscopic procedure where surgeons can safely develop laparoscopic experience and gain proficiency. METHODS: Between August 2004 and December 2007, 80 patients underwent laparoscopic liver resections in our unit, 30 of these were left lateral sectionectomies. The indications for surgery were both oncological and non-oncological. RESULTS: 30 LLLS were performed. Median operative time and median postoperative hospital stay group were 180 (40-340) min and 4 (1-6) days, respectively, and were noted to fall significantly between the first (15 patients) and second parts of this series. The median free resection margin was 11 (1.5-30) mm and median perioperative blood loss was 80 (25-800) ml. Two minor complications were observed with no mortality and no conversions to open. CONCLUSION: LLLS is a feasible, safe and efficient procedure, associated with a quick, smooth learning curve. We report our technique illustrating methods and particulars which would be of great help to surgeons developing new laparoscopic liver services. Copyright 2008 S. Karger AG, Basel.
BACKGROUND: Laparoscopic left lateral sectionectomy (LLLS) is procedure with potential for future transformation into a primarily laparoscopic procedure where surgeons can safely develop laparoscopic experience and gain proficiency. METHODS: Between August 2004 and December 2007, 80 patients underwent laparoscopic liver resections in our unit, 30 of these were left lateral sectionectomies. The indications for surgery were both oncological and non-oncological. RESULTS: 30 LLLS were performed. Median operative time and median postoperative hospital stay group were 180 (40-340) min and 4 (1-6) days, respectively, and were noted to fall significantly between the first (15 patients) and second parts of this series. The median free resection margin was 11 (1.5-30) mm and median perioperative blood loss was 80 (25-800) ml. Two minor complications were observed with no mortality and no conversions to open. CONCLUSION: LLLS is a feasible, safe and efficient procedure, associated with a quick, smooth learning curve. We report our technique illustrating methods and particulars which would be of great help to surgeons developing new laparoscopic liver services. Copyright 2008 S. Karger AG, Basel.
Authors: Tan To Cheung; Ronnie T P Poon; Wing Chiu Dai; Kenneth S H Chok; See Ching Chan; Chung Mau Lo Journal: World J Surg Date: 2016-01 Impact factor: 3.352
Authors: Mohammad Abu Hilal; Marcel J van der Poel; Morsal Samim; Marc G H Besselink; David Flowers; Brian Stedman; Neil W Pearce Journal: J Gastrointest Surg Date: 2015-01-07 Impact factor: 3.452
Authors: Mohammad Abu Hilal; Tim Underwood; Matthew G Taylor; Khaled Hamdan; Hassan Elberm; Neil W Pearce Journal: Surg Endosc Date: 2009-07-16 Impact factor: 4.584