Evolution of laparoscopic left lateral sectionectomy without the Pringle maneuver: through resection of benign and malignant tumors to living liver donation
Background Laparoscopic left lateral sectionectomy (LLS) has gained popularity in its use for benign and malignant tumors. This report describes the evolution of the authors’ experience using laparoscopic LLS for different indications including living liver donation. Methods Between January 2004 and...
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| creator | Troisi, Roberto Ivan Van Huysse, Jacques Berrevoet, Frederik Vandenbossche, Bert Sainz-Barriga, Mauricio Vinci, Alessio Ricciardi, Salvatore Bocchetti, Tommaso Rogiers, Xavier de Hemptinne, Bernard |
| description | Background
Laparoscopic left lateral sectionectomy (LLS) has gained popularity in its use for benign and malignant tumors. This report describes the evolution of the authors’ experience using laparoscopic LLS for different indications including living liver donation.
Methods
Between January 2004 and January 2009, 37 consecutive patients underwent laparoscopic LLS for benign, primary, and metastatic liver diseases, and for one case of living liver donation. Resection of malignant tumors was indicated for 19 (51%) of the 37 patients.
Results
All but three patients (deceased due to metastatic cancer disease) are alive and well after a median follow-up period of 20 months (range, 8–46 months). Liver cell adenomas (72%) were the main indication among benign tumors, and colorectal liver metastases (84%) were the first indication of malignancy. One case of live liver donation was performed. Whereas 16 patients (43%) had undergone a previous abdominal surgery, 3 patients (8%) had LLS combined with bowel resection. The median operation time was of 195 min (range, 115–300 min), and the median blood loss was of 50 ml (range, 0–500 ml). Mild to severe steatosis was noted in 7 patients (19%) and aspecific portal inflammation in 11 patients (30%). A median free margin of 5 mm (range, 5–27 mm) was achieved for all cancer patients. The overall recurrence rate for colorectal liver metastases was of 44% (7 patients), but none recurred at the surgical margin. No conversion to laparotomy was recorded, and the overall morbidity rate was 8.1% (1 grade 1 and 2 grade 2 complications). The median hospital stay was 6 days (range, 2–10 days).
Conclusions
Laparoscopic LLS without portal clamping can be performed safely for cases of benign and malignant liver disease with minimal blood loss and overall morbidity, free resection margins, and a favorable outcome. As the ultimate step of the learning curve, laparoscopic LLS could be routinely proposed, potentially increasing the donor pool for living-related liver transplantation. |
| doi_str_mv | 10.1007/s00464-010-1133-8 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3003798</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2218158731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c498t-568513f57c16db1890f3ee3363eaa818f7033cd7fbc91d917e1e8097d843b1623</originalsourceid><addsrcrecordid>eNp1kc-OFCEQxonRuOPqA3gxxMRjKwX9BzyYmM26a7KJHvRMaLp6hk03jECP2XfxYaUz464evFBQ_Oqrgo-Ql8DeAmPdu8RY3dYVA1YBCFHJR2QDteAV5yAfkw1TglW8U_UZeZbSLSu4guYpOeOsEbxp1Yb8ujyEackueBpGOpm9iSHZsHeWTjjmkskYzUQT2hUqa5jv6E-Xd2HJNO-Qfo3Obyeks_G4HDC-L9kYlu2ORjxVrdI9erf11PihkFPZGl_qlznERHOgkzsUmTVgpEPwZq17Tp6MZkr44hTPyfdPl98urqubL1efLz7eVLZWMldNKxsQY9NZaIcepGKjQBSiFWiMBDl2TAg7dGNvFQwKOgSUTHWDrEUPLRfn5MNRd7_0Mw4WfS5v1vvoZhPvdDBO_3vj3U5vw0ELxkSnZBF4fRKI4ceCKevbsERfZtalfyc5cFYgOEK2fHGKON43AKZXP_XRT83Wc_FTr8Kv_p7svuKPgQV4cwJMsmYao_HWpQdOSICCFY4fubRf_cL4MOH_u_8GkgW83A</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>818782120</pqid></control><display><type>article</type><title>Evolution of laparoscopic left lateral sectionectomy without the Pringle maneuver: through resection of benign and malignant tumors to living liver donation</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Troisi, Roberto Ivan ; Van Huysse, Jacques ; Berrevoet, Frederik ; Vandenbossche, Bert ; Sainz-Barriga, Mauricio ; Vinci, Alessio ; Ricciardi, Salvatore ; Bocchetti, Tommaso ; Rogiers, Xavier ; de Hemptinne, Bernard</creator><creatorcontrib>Troisi, Roberto Ivan ; Van Huysse, Jacques ; Berrevoet, Frederik ; Vandenbossche, Bert ; Sainz-Barriga, Mauricio ; Vinci, Alessio ; Ricciardi, Salvatore ; Bocchetti, Tommaso ; Rogiers, Xavier ; de Hemptinne, Bernard</creatorcontrib><description>Background
Laparoscopic left lateral sectionectomy (LLS) has gained popularity in its use for benign and malignant tumors. This report describes the evolution of the authors’ experience using laparoscopic LLS for different indications including living liver donation.
Methods
Between January 2004 and January 2009, 37 consecutive patients underwent laparoscopic LLS for benign, primary, and metastatic liver diseases, and for one case of living liver donation. Resection of malignant tumors was indicated for 19 (51%) of the 37 patients.
Results
All but three patients (deceased due to metastatic cancer disease) are alive and well after a median follow-up period of 20 months (range, 8–46 months). Liver cell adenomas (72%) were the main indication among benign tumors, and colorectal liver metastases (84%) were the first indication of malignancy. One case of live liver donation was performed. Whereas 16 patients (43%) had undergone a previous abdominal surgery, 3 patients (8%) had LLS combined with bowel resection. The median operation time was of 195 min (range, 115–300 min), and the median blood loss was of 50 ml (range, 0–500 ml). Mild to severe steatosis was noted in 7 patients (19%) and aspecific portal inflammation in 11 patients (30%). A median free margin of 5 mm (range, 5–27 mm) was achieved for all cancer patients. The overall recurrence rate for colorectal liver metastases was of 44% (7 patients), but none recurred at the surgical margin. No conversion to laparotomy was recorded, and the overall morbidity rate was 8.1% (1 grade 1 and 2 grade 2 complications). The median hospital stay was 6 days (range, 2–10 days).
Conclusions
Laparoscopic LLS without portal clamping can be performed safely for cases of benign and malignant liver disease with minimal blood loss and overall morbidity, free resection margins, and a favorable outcome. As the ultimate step of the learning curve, laparoscopic LLS could be routinely proposed, potentially increasing the donor pool for living-related liver transplantation.</description><identifier>ISSN: 0930-2794</identifier><identifier>EISSN: 1432-2218</identifier><identifier>DOI: 10.1007/s00464-010-1133-8</identifier><identifier>PMID: 20532569</identifier><identifier>CODEN: SUREEX</identifier><language>eng</language><publisher>New York: Springer-Verlag</publisher><subject><![CDATA[Abdomen ; Abdominal Surgery ; Adenocarcinoma - secondary ; Adenocarcinoma - surgery ; Adenoma - surgery ; Adult ; Aged ; Antineoplastic Combined Chemotherapy Protocols - administration & dosage ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biological and medical sciences ; Blood Loss, Surgical ; Camptothecin - administration & dosage ; Camptothecin - analogs & derivatives ; Carcinoma, Hepatocellular - drug therapy ; Carcinoma, Hepatocellular - surgery ; Combined Modality Therapy ; Digestive system. Abdomen ; Disease ; Disease-Free Survival ; Endoscopy ; Female ; Fluorouracil - administration & dosage ; Follow-Up Studies ; Gastroenterology ; Gastrointestinal Stromal Tumors - secondary ; Gastrointestinal Stromal Tumors - surgery ; Gynecology ; Hepatectomy - methods ; Hepatology ; Hospitals ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Laparoscopy ; Laparoscopy - methods ; Length of Stay - statistics & numerical data ; Leucovorin - administration & dosage ; Liver ; Liver Neoplasms - drug therapy ; Liver Neoplasms - secondary ; Liver Neoplasms - surgery ; Liver Transplantation ; Liver, biliary tract, pancreas, portal circulation, spleen ; Living Donors ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Melanoma - secondary ; Melanoma - surgery ; Metastasis ; Middle Aged ; Morbidity ; Mortality ; Organoplatinum Compounds - administration & dosage ; Patients ; Postoperative Complications - epidemiology ; Proctology ; Retrospective Studies ; Surgeons ; Surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Surgical techniques ; Tissue and Organ Harvesting - methods ; Tomography ; Transplants & implants ; Tumors]]></subject><ispartof>Surgical endoscopy, 2011-01, Vol.25 (1), p.79-87</ispartof><rights>The Author(s) 2010</rights><rights>2015 INIST-CNRS</rights><rights>Springer Science+Business Media, LLC 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c498t-568513f57c16db1890f3ee3363eaa818f7033cd7fbc91d917e1e8097d843b1623</citedby><cites>FETCH-LOGICAL-c498t-568513f57c16db1890f3ee3363eaa818f7033cd7fbc91d917e1e8097d843b1623</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00464-010-1133-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00464-010-1133-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27903,27904,41467,42536,51298</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23811693$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20532569$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Troisi, Roberto Ivan</creatorcontrib><creatorcontrib>Van Huysse, Jacques</creatorcontrib><creatorcontrib>Berrevoet, Frederik</creatorcontrib><creatorcontrib>Vandenbossche, Bert</creatorcontrib><creatorcontrib>Sainz-Barriga, Mauricio</creatorcontrib><creatorcontrib>Vinci, Alessio</creatorcontrib><creatorcontrib>Ricciardi, Salvatore</creatorcontrib><creatorcontrib>Bocchetti, Tommaso</creatorcontrib><creatorcontrib>Rogiers, Xavier</creatorcontrib><creatorcontrib>de Hemptinne, Bernard</creatorcontrib><title>Evolution of laparoscopic left lateral sectionectomy without the Pringle maneuver: through resection of benign and malignant tumors to living liver donation</title><title>Surgical endoscopy</title><addtitle>Surg Endosc</addtitle><addtitle>Surg Endosc</addtitle><description>Background
Laparoscopic left lateral sectionectomy (LLS) has gained popularity in its use for benign and malignant tumors. This report describes the evolution of the authors’ experience using laparoscopic LLS for different indications including living liver donation.
Methods
Between January 2004 and January 2009, 37 consecutive patients underwent laparoscopic LLS for benign, primary, and metastatic liver diseases, and for one case of living liver donation. Resection of malignant tumors was indicated for 19 (51%) of the 37 patients.
Results
All but three patients (deceased due to metastatic cancer disease) are alive and well after a median follow-up period of 20 months (range, 8–46 months). Liver cell adenomas (72%) were the main indication among benign tumors, and colorectal liver metastases (84%) were the first indication of malignancy. One case of live liver donation was performed. Whereas 16 patients (43%) had undergone a previous abdominal surgery, 3 patients (8%) had LLS combined with bowel resection. The median operation time was of 195 min (range, 115–300 min), and the median blood loss was of 50 ml (range, 0–500 ml). Mild to severe steatosis was noted in 7 patients (19%) and aspecific portal inflammation in 11 patients (30%). A median free margin of 5 mm (range, 5–27 mm) was achieved for all cancer patients. The overall recurrence rate for colorectal liver metastases was of 44% (7 patients), but none recurred at the surgical margin. No conversion to laparotomy was recorded, and the overall morbidity rate was 8.1% (1 grade 1 and 2 grade 2 complications). The median hospital stay was 6 days (range, 2–10 days).
Conclusions
Laparoscopic LLS without portal clamping can be performed safely for cases of benign and malignant liver disease with minimal blood loss and overall morbidity, free resection margins, and a favorable outcome. As the ultimate step of the learning curve, laparoscopic LLS could be routinely proposed, potentially increasing the donor pool for living-related liver transplantation.</description><subject>Abdomen</subject><subject>Abdominal Surgery</subject><subject>Adenocarcinoma - secondary</subject><subject>Adenocarcinoma - surgery</subject><subject>Adenoma - surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Blood Loss, Surgical</subject><subject>Camptothecin - administration & dosage</subject><subject>Camptothecin - analogs & derivatives</subject><subject>Carcinoma, Hepatocellular - drug therapy</subject><subject>Carcinoma, Hepatocellular - surgery</subject><subject>Combined Modality Therapy</subject><subject>Digestive system. Abdomen</subject><subject>Disease</subject><subject>Disease-Free Survival</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Fluorouracil - administration & dosage</subject><subject>Follow-Up Studies</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Stromal Tumors - secondary</subject><subject>Gastrointestinal Stromal Tumors - surgery</subject><subject>Gynecology</subject><subject>Hepatectomy - methods</subject><subject>Hepatology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Leucovorin - administration & dosage</subject><subject>Liver</subject><subject>Liver Neoplasms - drug therapy</subject><subject>Liver Neoplasms - secondary</subject><subject>Liver Neoplasms - surgery</subject><subject>Liver Transplantation</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Living Donors</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Melanoma - secondary</subject><subject>Melanoma - surgery</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Organoplatinum Compounds - administration & dosage</subject><subject>Patients</subject><subject>Postoperative Complications - epidemiology</subject><subject>Proctology</subject><subject>Retrospective Studies</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Surgical techniques</subject><subject>Tissue and Organ Harvesting - methods</subject><subject>Tomography</subject><subject>Transplants & implants</subject><subject>Tumors</subject><issn>0930-2794</issn><issn>1432-2218</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kc-OFCEQxonRuOPqA3gxxMRjKwX9BzyYmM26a7KJHvRMaLp6hk03jECP2XfxYaUz464evFBQ_Oqrgo-Ql8DeAmPdu8RY3dYVA1YBCFHJR2QDteAV5yAfkw1TglW8U_UZeZbSLSu4guYpOeOsEbxp1Yb8ujyEackueBpGOpm9iSHZsHeWTjjmkskYzUQT2hUqa5jv6E-Xd2HJNO-Qfo3Obyeks_G4HDC-L9kYlu2ORjxVrdI9erf11PihkFPZGl_qlznERHOgkzsUmTVgpEPwZq17Tp6MZkr44hTPyfdPl98urqubL1efLz7eVLZWMldNKxsQY9NZaIcepGKjQBSiFWiMBDl2TAg7dGNvFQwKOgSUTHWDrEUPLRfn5MNRd7_0Mw4WfS5v1vvoZhPvdDBO_3vj3U5vw0ELxkSnZBF4fRKI4ceCKevbsERfZtalfyc5cFYgOEK2fHGKON43AKZXP_XRT83Wc_FTr8Kv_p7svuKPgQV4cwJMsmYao_HWpQdOSICCFY4fubRf_cL4MOH_u_8GkgW83A</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Troisi, Roberto Ivan</creator><creator>Van Huysse, Jacques</creator><creator>Berrevoet, Frederik</creator><creator>Vandenbossche, Bert</creator><creator>Sainz-Barriga, Mauricio</creator><creator>Vinci, Alessio</creator><creator>Ricciardi, Salvatore</creator><creator>Bocchetti, Tommaso</creator><creator>Rogiers, Xavier</creator><creator>de Hemptinne, Bernard</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20110101</creationdate><title>Evolution of laparoscopic left lateral sectionectomy without the Pringle maneuver: through resection of benign and malignant tumors to living liver donation</title><author>Troisi, Roberto Ivan ; Van Huysse, Jacques ; Berrevoet, Frederik ; Vandenbossche, Bert ; Sainz-Barriga, Mauricio ; Vinci, Alessio ; Ricciardi, Salvatore ; Bocchetti, Tommaso ; Rogiers, Xavier ; de Hemptinne, Bernard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c498t-568513f57c16db1890f3ee3363eaa818f7033cd7fbc91d917e1e8097d843b1623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Abdomen</topic><topic>Abdominal Surgery</topic><topic>Adenocarcinoma - secondary</topic><topic>Adenocarcinoma - surgery</topic><topic>Adenoma - surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic Combined Chemotherapy Protocols - administration & dosage</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Blood Loss, Surgical</topic><topic>Camptothecin - administration & dosage</topic><topic>Camptothecin - analogs & derivatives</topic><topic>Carcinoma, Hepatocellular - drug therapy</topic><topic>Carcinoma, Hepatocellular - surgery</topic><topic>Combined Modality Therapy</topic><topic>Digestive system. Abdomen</topic><topic>Disease</topic><topic>Disease-Free Survival</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Fluorouracil - administration & dosage</topic><topic>Follow-Up Studies</topic><topic>Gastroenterology</topic><topic>Gastrointestinal Stromal Tumors - secondary</topic><topic>Gastrointestinal Stromal Tumors - surgery</topic><topic>Gynecology</topic><topic>Hepatectomy - methods</topic><topic>Hepatology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Leucovorin - administration & dosage</topic><topic>Liver</topic><topic>Liver Neoplasms - drug therapy</topic><topic>Liver Neoplasms - secondary</topic><topic>Liver Neoplasms - surgery</topic><topic>Liver Transplantation</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Living Donors</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Melanoma - secondary</topic><topic>Melanoma - surgery</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Organoplatinum Compounds - administration & dosage</topic><topic>Patients</topic><topic>Postoperative Complications - epidemiology</topic><topic>Proctology</topic><topic>Retrospective Studies</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Surgical techniques</topic><topic>Tissue and Organ Harvesting - methods</topic><topic>Tomography</topic><topic>Transplants & implants</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Troisi, Roberto Ivan</creatorcontrib><creatorcontrib>Van Huysse, Jacques</creatorcontrib><creatorcontrib>Berrevoet, Frederik</creatorcontrib><creatorcontrib>Vandenbossche, Bert</creatorcontrib><creatorcontrib>Sainz-Barriga, Mauricio</creatorcontrib><creatorcontrib>Vinci, Alessio</creatorcontrib><creatorcontrib>Ricciardi, Salvatore</creatorcontrib><creatorcontrib>Bocchetti, Tommaso</creatorcontrib><creatorcontrib>Rogiers, Xavier</creatorcontrib><creatorcontrib>de Hemptinne, Bernard</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Surgical endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Troisi, Roberto Ivan</au><au>Van Huysse, Jacques</au><au>Berrevoet, Frederik</au><au>Vandenbossche, Bert</au><au>Sainz-Barriga, Mauricio</au><au>Vinci, Alessio</au><au>Ricciardi, Salvatore</au><au>Bocchetti, Tommaso</au><au>Rogiers, Xavier</au><au>de Hemptinne, Bernard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evolution of laparoscopic left lateral sectionectomy without the Pringle maneuver: through resection of benign and malignant tumors to living liver donation</atitle><jtitle>Surgical endoscopy</jtitle><stitle>Surg Endosc</stitle><addtitle>Surg Endosc</addtitle><date>2011-01-01</date><risdate>2011</risdate><volume>25</volume><issue>1</issue><spage>79</spage><epage>87</epage><pages>79-87</pages><issn>0930-2794</issn><eissn>1432-2218</eissn><coden>SUREEX</coden><abstract>Background
Laparoscopic left lateral sectionectomy (LLS) has gained popularity in its use for benign and malignant tumors. This report describes the evolution of the authors’ experience using laparoscopic LLS for different indications including living liver donation.
Methods
Between January 2004 and January 2009, 37 consecutive patients underwent laparoscopic LLS for benign, primary, and metastatic liver diseases, and for one case of living liver donation. Resection of malignant tumors was indicated for 19 (51%) of the 37 patients.
Results
All but three patients (deceased due to metastatic cancer disease) are alive and well after a median follow-up period of 20 months (range, 8–46 months). Liver cell adenomas (72%) were the main indication among benign tumors, and colorectal liver metastases (84%) were the first indication of malignancy. One case of live liver donation was performed. Whereas 16 patients (43%) had undergone a previous abdominal surgery, 3 patients (8%) had LLS combined with bowel resection. The median operation time was of 195 min (range, 115–300 min), and the median blood loss was of 50 ml (range, 0–500 ml). Mild to severe steatosis was noted in 7 patients (19%) and aspecific portal inflammation in 11 patients (30%). A median free margin of 5 mm (range, 5–27 mm) was achieved for all cancer patients. The overall recurrence rate for colorectal liver metastases was of 44% (7 patients), but none recurred at the surgical margin. No conversion to laparotomy was recorded, and the overall morbidity rate was 8.1% (1 grade 1 and 2 grade 2 complications). The median hospital stay was 6 days (range, 2–10 days).
Conclusions
Laparoscopic LLS without portal clamping can be performed safely for cases of benign and malignant liver disease with minimal blood loss and overall morbidity, free resection margins, and a favorable outcome. As the ultimate step of the learning curve, laparoscopic LLS could be routinely proposed, potentially increasing the donor pool for living-related liver transplantation.</abstract><cop>New York</cop><pub>Springer-Verlag</pub><pmid>20532569</pmid><doi>10.1007/s00464-010-1133-8</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Surgical endoscopy, 2011-01, Vol.25 (1), p.79-87 |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Abdomen Abdominal Surgery Adenocarcinoma - secondary Adenocarcinoma - surgery Adenoma - surgery Adult Aged Antineoplastic Combined Chemotherapy Protocols - administration & dosage Antineoplastic Combined Chemotherapy Protocols - therapeutic use Biological and medical sciences Blood Loss, Surgical Camptothecin - administration & dosage Camptothecin - analogs & derivatives Carcinoma, Hepatocellular - drug therapy Carcinoma, Hepatocellular - surgery Combined Modality Therapy Digestive system. Abdomen Disease Disease-Free Survival Endoscopy Female Fluorouracil - administration & dosage Follow-Up Studies Gastroenterology Gastrointestinal Stromal Tumors - secondary Gastrointestinal Stromal Tumors - surgery Gynecology Hepatectomy - methods Hepatology Hospitals Humans Investigative techniques, diagnostic techniques (general aspects) Laparoscopy Laparoscopy - methods Length of Stay - statistics & numerical data Leucovorin - administration & dosage Liver Liver Neoplasms - drug therapy Liver Neoplasms - secondary Liver Neoplasms - surgery Liver Transplantation Liver, biliary tract, pancreas, portal circulation, spleen Living Donors Male Medical sciences Medicine Medicine & Public Health Melanoma - secondary Melanoma - surgery Metastasis Middle Aged Morbidity Mortality Organoplatinum Compounds - administration & dosage Patients Postoperative Complications - epidemiology Proctology Retrospective Studies Surgeons Surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Surgical techniques Tissue and Organ Harvesting - methods Tomography Transplants & implants Tumors |
| title | Evolution of laparoscopic left lateral sectionectomy without the Pringle maneuver: through resection of benign and malignant tumors to living liver donation |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-22T08%3A42%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evolution%20of%20laparoscopic%20left%20lateral%20sectionectomy%20without%20the%20Pringle%20maneuver:%20through%20resection%20of%20benign%20and%20malignant%20tumors%20to%20living%20liver%20donation&rft.jtitle=Surgical%20endoscopy&rft.au=Troisi,%20Roberto%20Ivan&rft.date=2011-01-01&rft.volume=25&rft.issue=1&rft.spage=79&rft.epage=87&rft.pages=79-87&rft.issn=0930-2794&rft.eissn=1432-2218&rft.coden=SUREEX&rft_id=info:doi/10.1007/s00464-010-1133-8&rft_dat=%3Cproquest_pubme%3E2218158731%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=818782120&rft_id=info:pmid/20532569&rfr_iscdi=true |