Single incision laparoscopic hepatectomy (SILH)

Autor: I. Pateras, Nikolaos Nikiteas, Ch. Tsigris, I. Karaiskos, J. Griniatsos
Rok vydání: 2012
Předmět:
Zdroj: Hellenic Journal of Surgery. 84:60-66
ISSN: 1868-8845
0018-0092
DOI: 10.1007/s13126-012-0005-1
Popis: This review evaluates all the up-to-date published data of the literature concerning single incision laparoscopic hepatectomies (SILH) for malignant and benign conditions (colorectal liver metastasis, hepatocellular carcinoma, haemangiomas and liver adenomas). The PubMed library database was used to gather data published until February 2011 concerning SILH, using the keywords: «single incision laparoscopic hepatectomy» and others related to the subject. Demographic data, taking into account patient’s age/sex, hepatectomy types, preoperative and postoperative care data, were evaluated. Operative data were calculated, including operative time, blood loss, conversion rate, haemostasis, etc. Single incision laparoscopy setup such as port type, instruments etc were all included in the data. This first ever review, to our knowledge, includes the 5 only case reports of SILH for malignant or benign diseases to be reported in the world bibliography, to date. All aforementioned demographic parameters were collectively reported as clearly as they were presented in their referral papers. SIL wedge resections between liver segments I–III and left lateral sectionectomies are safe and applicable procedures, in a selected group of patients, without morbidity and mortality when performed by experienced laparoscopists. Main advantages include the parenchymal transection instruments that maintain haemostasis and oncologic margins. The liver transection line in front of the camera, towards segments I–IV, is an anatomic advantage in itself. Postoperative pain does not seem to surpass that of a simple cholecystectomy and hospital discharge is at 3 days median time.
Databáze: OpenAIRE
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