A feasibility study of laparoscopic liver resections / 中国微创外科杂志

ABSTRACT

Objective To evaluate the feasibility of laparoscopic liver resection. Methods Total laparoscopic liver resections were carried out in 44 candidates between July 2002 and February 2004, including 22 cases of primary hepatocellular carcinoma, 10 cases of liver hemangioma, 3 cases of liver abscess, 1 case of infected liver cyst, 3 cases of liver focal nodular hyperplasia, 1 case of hepatic adenoma, 1 case of bile duct cystadenoma, 1 case of liver inflammatory granuloma, 1 case of hilar bile duct carcinoma and 1 case of highly specialized biliary cellular carcinoma. According to the Child-Pugh classification, 38 cases fell into “Class A” and 6 cases (all of which were hepatic carcinoma), “Class B”. Results Laparoscopic procedures were completed smoothly, including liver partial resections in 17 cases, left liver anatomical resections in 14 cases and right liver anatomical resections in 13 cases. The operation time was 15～450 min(mean,195 min). The blood loss was 50～1 500 ml (mean, 405 ml). The amount of blood transfusion was 0～1 000 ml(mean,175 ml). Postoperative convalescence was uneventfully, with a hospital stay of 2～9 d(mean,5 6 d). Conclusions Laparoscopic liver resection is a safe and feasible procedure. It may be reserved for both benign and malignant tumors in selected cases.