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1. Laparoscopic liver resection of benign liver tumors

Author

Descottes, B., Glineur, D., Lachachi, F., Valleix, D., Paineau, J., Hamy, A., Morino, M., Bismuth, H., Castaing, D., Savier, E., Honore, P., Detry, O., Legrand, M., Azagra, J.S., Goergen, M., Ceuterick, M., Marescaux, J., Mutter, D., Hemptinne, B., Troisi, R., Weerts, J., Dallemagne, B., Jehaes, C., Gelin, M., Donckier, V., Aerts, R., Topal, B., Bertrand, C., Mansvelt, B., Krunckelsven, L., Herman, D., Kint, M., Totte, E., Schockmel, R., and Gigot, J.F.

Published
2003
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2. Erratum: Laparoscopic liver resection of benign liver tumors

Author

Descottes, B., Glineur, D., Lachachi, F., Valleix, D., Paineau, J., Hamy, A., Morino, M., Bismuth, H., Castaing, D., Savier, E., Honore, P., Detry, O., Legrand, M., Azagra, J.S., Goergen, M., Ceuterick, M., Marescaux, J., Mutter, D., Hemptinne, B., Troisi, R., Weerts, J., Dallemagne, B., Jehaes, C., Gelin, M., Donckier, V., Aerts, R., Topal, B., Bertrand, C., Mansvelt, B., Krunckelsven, L., Herman, D., Kint, M., Totte, E., Schockmel, R., and Gigot, J.F.

Published
2003
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3. Laparoscopic liver resection of benign liver tumors.

Author

UCL - (SLuc) Service de chirurgie et transplantation abdominale, UCL - (SLuc) Centre du cancer, UCL - (MGD) Service de chirurgie, UCL - (SLuc) Service de chirurgie cardiovasculaire et thoracique, UCL - MD/CHIR - Département de chirurgie, Descottes, B., Glineur, David, Lachachi, F., Valleix, D., Paineau, J., Hamy, A., Morino, M., Bismuth, H., Castaing, D., Savier, E., Honore, P., Detry, O., Legrand, M., Azagra, J. S., Goergen, M., Ceuterick, M., Marescaux, J., Mutter, D., de Hemptinne, B., Troisi, R., Weerts, J., Dallemagne, B., Jehaes, C., Gelin, M., Donckier, V., Aerts, R., Topal, B., Bertrand, Claude, Mansvelt, B., Van Krunckelsven, L., Herman, D., Kint, M., Totte, E., Schockmel, R., Gigot, Jean-François, UCL - (SLuc) Service de chirurgie et transplantation abdominale, UCL - (SLuc) Centre du cancer, UCL - (MGD) Service de chirurgie, UCL - (SLuc) Service de chirurgie cardiovasculaire et thoracique, UCL - MD/CHIR - Département de chirurgie, Descottes, B., Glineur, David, Lachachi, F., Valleix, D., Paineau, J., Hamy, A., Morino, M., Bismuth, H., Castaing, D., Savier, E., Honore, P., Detry, O., Legrand, M., Azagra, J. S., Goergen, M., Ceuterick, M., Marescaux, J., Mutter, D., de Hemptinne, B., Troisi, R., Weerts, J., Dallemagne, B., Jehaes, C., Gelin, M., Donckier, V., Aerts, R., Topal, B., Bertrand, Claude, Mansvelt, B., Van Krunckelsven, L., Herman, D., Kint, M., Totte, E., Schockmel, R., and Gigot, Jean-François

Abstract

Laparoscopic resection of benign liver tumors is feasible and safe for selected patients with small tumors located in the left lateral segments or in the anterior segments of the right liver. Despite the use of a laparoscopic approach, selective indications for resection of benign liver tumors should remain unchanged. When performed by expert liver and laparoscopic surgeons in selected patients and tumors, laparoscopic resection of benign liver tumor is a promising technique.

Published
2003

5. Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study.

Author

Gigot JF, Glineur D, Santiago Azagra J, Goergen M, Ceuterick M, Morino M, Etienne J, Marescaux J, Mutter D, van Krunckelsven L, Descottes B, Valleix D, Lachachi F, Bertrand C, Mansvelt B, Hubens G, Saey JP, and Schockmel R

Subjects
Adult, Aged, Carcinoma, Hepatocellular surgery, Female, Hepatectomy methods, Humans, Liver Neoplasms pathology, Liver Neoplasms secondary, Male, Middle Aged, Postoperative Complications, Reoperation, Retrospective Studies, Survival Analysis, Time Factors, Treatment Outcome, Hepatectomy adverse effects, Laparoscopy adverse effects, Liver Neoplasms surgery
Abstract

Objective: To assess the feasibility, safety, and outcome of laparoscopic liver resection for malignant liver tumors., Summary Background Data: The precise role of laparoscopy in resection of liver malignancies (hepatocellular carcinoma [HCC] and liver metastases) remains controversial despite an increasing number of publications reporting laparoscopic resection of benign liver tumors., Methods: A retrospective study was performed in 11 surgical centers in Europe regarding their experience with laparoscopic resection of liver malignancies. Detailed questionnaires were sent to each surgeon focusing on patient characteristics, clinical data, type and characteristics of the tumor, technical details of the operation, and early and late clinical outcome. All patients had radiologic investigations at follow-up to exclude disease recurrence., Results: From February 1994 to December 2000, 37 patients with malignant liver tumors were included in this study. Ten patients had HCC, including 9 with cirrhotic liver, and 27 patients had liver metastases. The mean tumor size was 3.3 cm, and 89% of the tumors were located in the left lobe or in the anterior segments of the right liver. Liver procedures included 12 wedge resections, 9 segmentectomies, 14 bisegmentectomies (including 13 left lateral segmentectomies), and 2 major hepatectomies. The transfusion rate, the use of pedicular clamping, the conversion rate (13.5% in the whole series), and the complication rate were significantly greater in patients with HCC. There were no deaths. Postoperative complications occurred in eight patients (22%). The surgical margin was less than 1 cm in 30% of the patients. During a mean follow-up of 14 months, the 2-year disease-free survival was 44% for patients with HCC and 53% for patients having hepatic metastases from colorectal cancer. No port-site metastases were observed during follow-up., Conclusions: In patients with small malignant tumors, located in the left lateral segments or in the anterior segments of the right liver, laparoscopic resection is feasible and safe. The complication rate is low, except in patients with HCC on cirrhotic liver. By using laparoscopic ultrasound, a 1-cm free surgical margin should be routinely obtained. The late outcome needs to be evaluated in expert centers.

Published
2002
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