Back to Search
Start Over
Minimally invasive resection of posterosuperior liver tumors in the supine position using intra-abdominal trocars
- Source :
- Surgical endoscopy. 34(2)
- Publication Year :
- 2018
-
Abstract
- Laparoscopic liver resection (LLR) of posterosuperior (PS) segment liver tumors is technically challenging with confusion about optimal patient positioning and trocar placement (i.e., transabdominal vs. transcostal). The aim of this study is to describe our technique and outcomes with LLR of these tumors. This is an IRB-approved retrospective review of a prospective database. Between 2005 and 2017, patients with benign and malignant lesions underwent LLR. Perioperative outcomes of PS (segments 4A, 7, and 8) and anterolateral (AL) resections were compared. All patients were operated through intra-abdominal trocars in the supine position. 304 patients underwent LLR for AL (n = 217) and PS (n = 87) segmental lesions. Minor liver resections were performed in 274 patients and major resections in 30. Groups were comparable for age, sex, pathology, and tumor size (mean 4.2 and 3.7 cm for AL and PS). Inflow occlusion was more frequently performed for PS resections, but precoagulation rates were similar. PS resections more frequently required hand assistance (50% vs. 20%, p
- Subjects :
- Laparoscopic surgery
Adult
Male
medicine.medical_specialty
Blood transfusion
Supine position
medicine.medical_treatment
Operative Time
030230 surgery
Patient Positioning
03 medical and health sciences
0302 clinical medicine
Internal medicine
Supine Position
Medicine
Hepatectomy
Humans
Minimally Invasive Surgical Procedures
Aged
Retrospective Studies
business.industry
Liver Neoplasms
Margins of Excision
Perioperative
Cytoreduction Surgical Procedures
Hepatology
Middle Aged
Surgical Instruments
Surgery
Resection margin
030211 gastroenterology & hepatology
Female
Laparoscopy
business
Complication
Abdominal surgery
Subjects
Details
- ISSN :
- 14322218
- Volume :
- 34
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Surgical endoscopy
- Accession number :
- edsair.doi.dedup.....3b02e31162c6cde9b5aa85a6c6997154