Article
Surgery
Jinju Kim, Jai Young Cho, Ho-Seong Han, Yoo-Seok Yoon, YoungRok Choi, Jun Suh Lee, Boram Lee, Junyub Kim
Summary: The study validated a modified difficulty scoring system for laparoscopic liver resection for intrahepatic duct stones, which effectively predicted surgical outcomes and complications. Surgical difficulty varied among patients, with significant differences in operation time, hospital stay, blood loss, transfusion rate, and postoperative complications based on difficulty scores. Patients who underwent right liver resection had longer operation time, higher difficulty score, and more blood loss compared to those who had left liver resection.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Oncology
Zefeng Shen, Jingwei Cai, Jiaqi Gao, Junhao Zheng, Liye Tao, Yuelong Liang, Junjie Xu, Xiao Liang
Summary: This study aimed to assess the feasibility and safety of laparoscopic repeat hepatectomy (LRH) for patients with hepatic tumor recurrence. The results showed that LRH had advantages over open repeat hepatectomy (ORH) in terms of shorter operative duration, less intraoperative bleeding, lower blood transfusion rate, and shorter hospitalization. Long-term follow-up results showed no significant differences in overall survival and disease-free survival between LRH and ORH.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2022)
Review
Surgery
Xin Zhao, Zehua Lei, Fengwei Gao, Jie Yang, Qingyun Xie, Kangyi Jiang, Gong Jie
Summary: The study compared the safety and efficacy of minimally invasive donors right hepatectomy (MIDRH) with open donors right hepatectomy (ODRH) in liver transplantation. MIDRH was found to have advantages in reducing bleeding, shortening hospital stay, and lowering overall donor complications compared to ODRH. However, MIDRH was associated with longer operative times and increased risk of biliary complications. More high-quality research is needed for further validation.
INTERNATIONAL JOURNAL OF SURGERY
(2021)
Article
Gastroenterology & Hepatology
Hidetoshi Gon, Shohei Komatsu, Masahiro Kido, Kenji Fukushima, Takeshi Urade, Shinichi So, Toshihiko Yoshida, Keisuke Arai, Jun Ishida, Yoshihide Nanno, Daisuke Tsugawa, Hiroaki Yanagimoto, Hirochika Toyama, Takumi Fukumoto
Summary: In patients requiring repeat hepatectomies for recurrent liver tumors, an initial laparoscopic approach may have advantages, including fewer postoperative complications and shorter operation time.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Theophile Guilbaud, Ugo Scemama, Anthony Sarran, Ecoline Tribillon, Alexandra Nassar, Brice Gayet, David Fuks
Summary: This study found that an estimated parenchymal transection surface area greater than or equal to 100 cm(2) is associated with surgical difficulty and postoperative complications in laparoscopic liver resection (LLR), including prolonged operative time, increased blood loss, higher conversion rate, and elevated risks of postoperative complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2021)
Article
Gastroenterology & Hepatology
Savannah R. Smith, Abraham J. Matar, Karunesh Polireddy, Haley A. Feltracco, Juan M. Sarmiento
Summary: This study provides evidence that surgical debulking is a safe and effective treatment option for patients with symptomatic polycystic liver disease (PCLD). The study also suggests that patients undergoing hepatectomy for PCLD can tolerate significant liver volume reduction without impaired hepatic function.
JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Surgery
Zhipeng Zheng, Haorong Xie, Zhangyuanzhu Liu, Xiang Wu, Jianxin Peng, Xuefang Chen, Junming He, Jie Zhou
Summary: This study described the experience of performing laparoscopic central hepatectomy using a parenchymal-first approach. The results showed that this method is feasible, with moderate operative duration, minimal blood loss, and low complication rates.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Surgery
Matteo Serenari, Francesca Ratti, Nicola Guglielmo, Matteo Zanello, Federico Mocchegiani, Jacopo Lenzi, Michele Colledan, Vincenzo Mazzaferro, Umberto Cillo, Alessandro Ferrero, Matteo Cescon, Fabrizio Di Benedetto, Marco Massani, Gianluca Grazi, Raffaele Dalla Valle, Marco Vivarelli, Giuseppe Maria Ettorre, Luca Aldrighetti, Elio Jovine
Summary: This study analyzed the trend and influencing factors of ALPPS in Italy. It was found that the use of ALPPS has slightly declined, but the use of minimally invasive techniques has increased, leading to a reduced 90-day mortality rate. Post-hepatectomy liver failure (PHLF) still remains an unresolved issue.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Surgery
Zhengchen Jiang, Gang Du, Xuyang Wang, Xiangyu Zhai, Guangyong Zhang, Bin Jin, Sanyuan Hu
Summary: This study compares the feasibility and safety of laparoscopic hepatic caudate lobectomy (LHCL) with open hepatic caudate lobectomy (OHCL) for treating liver tumor. The results show that LHCL is as effective as OHCL with no significant differences in intraoperative and postoperative parameters. However, LHCL has the advantage of smaller incision length and lower intraoperative blood loss compared to OHCL. Moreover, LHCL significantly reduces the proportion of patients with severe pain and dezocine consumption 48 hours after surgery.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Boram Lee, Jai Young Cho, Ho-Seong Han, Yoo-Seok Yoon, Hae Won Lee, Jun Suh Lee, Moonhwan Kim, Yeongsoo Jo
Summary: This study compared the clinical outcomes of laparoscopic anatomical resection (LAR) and laparoscopic non-anatomical resection (LNAR) for hepatocellular carcinoma (HCC) located in the posterosuperior (PS) segments. LNAR was found to have shorter operation time, lower blood loss, lower transfusion rate, and shorter hospital stay compared to LAR. Overall survival rates and recurrence-free survival rates were similar between the two groups, but LNAR had a higher intrahepatic recurrence rate. LNAR is considered safe and feasible for HCC located in PS segments when LAR is not feasible.
HEPATOBILIARY SURGERY AND NUTRITION
(2022)
Article
Gastroenterology & Hepatology
Worakitti Lapisatepun, Suk Kyun Hong, Kwangpyo Hong, Eui Soo Han, Jeong-Moo Lee, Nam-Joon Yi, Kwang-Woong Lee, Kyung-Suk Suh
Summary: The study evaluated the impact of large hepatic grafts on performing PLDRH, showing significantly longer operative duration and warm ischemia time in the group with large grafts, but no significant difference in complication incidence among donors.
JOURNAL OF GASTROINTESTINAL SURGERY
(2021)
Article
Surgery
Jinsoo Rhu, Gyu-Seong Choi, Jong Man Kim, Choon Hyuck David Kwon, Jae-Won Joh
Summary: This study analyzed the incidence and risk factors for surgical morbidities of laparoscopic living donors. The results showed that laparoscopic living donor surgery is safe for the majority of donors, and proper management can resolve critical complications. To minimize bile leakage, cautious surgical manipulation is needed for donors with complex hilar anatomy.
Article
Medicine, General & Internal
Christof Mittermair, Michael Weiss, Jan Schirnhofer, Eberhard Brunner, Katharina Fischer, Christian Obrist, Michael de Cillia, Vanessa Kemmetinger, Emanuel Gollegger, Tobias Hell, Helmut Weiss
Summary: This study compared hemostasis techniques in single-port and multiport major hepatectomies, finding that single-port surgeries were more likely to experience difficult bleeding control and require more transfusions, while multiport surgeries had less blood loss intraoperatively but similar postoperative complication rates.
JOURNAL OF CLINICAL MEDICINE
(2021)
Review
Oncology
Xin Zhao, Feng-wei Gao, Kang-yi Jiang, Jie Yang, Qing-yun Xie, Jie Gong, Man-yu Yang, Tian-yang Mao, Ze-hua Lei
Summary: A meta-analysis of 3975 intrahepatic cholangiocarcinoma (ICC) patients compared the outcomes of laparoscopic hepatectomy (Lap-ICC) and open hepatectomy (Open-ICC). The results showed that Lap-ICC had advantages in terms of lymph node dissection, metastasis, intraoperative bleeding, blood transfusion rate, hospital stay, R0 resection rate, and tumor recurrence rate, while there was no difference in operation time, lymph node dissection, incision margin distance, complications rate, and 1-, 3-, and 5-year DFS and OS rates.
FRONTIERS IN ONCOLOGY
(2023)
Article
Oncology
Zhen Qu, Ke-jia Wu, Jia-wei Feng, Ding-sen Shi, Yu-xiang Chen, Dong-lin Sun, Yun-Fei Duan, Jing Chen, Xiao-zhou He
Summary: With the advancement of laparoscopic surgery, laparoscopic hepatectomy has become feasible and safe. However, hemorrhage in the hepatic venous system and carbon dioxide gas embolism remain challenging. Various methods, such as preoperative imaging evaluation and precise surgical techniques, can help reduce the incidence of these complications. Prompt and appropriate interventions, including bleeding control and transfer to abdominal treatment if needed, play crucial roles in managing hepatic vein system hemorrhage. Understanding, prevention, and emergency treatment of carbon dioxide gas embolism are also essential for surgical success. This study aims to investigate effective approaches to these complications based on institutional experience and relevant literature.
FRONTIERS IN ONCOLOGY
(2023)