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KMID : 0191120120270070767
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Journal of Korean Medical Science
2012 Volume.27 No. 7 p.767 ~ p.771
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Current Status of Laparoscopic Liver Resection in Korea
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Park Joon-Seong
Han Ho-Seong
Hwang Dae-Wook
Yoon Yoo-Seok
Cho Jai-Young
Koh Yang-Seok
Choon Hyuck David Kwon
Kim Kyung-Sik
Kim Sang-Bum
Kim Young-Hoon
Kim Hyung-Chul
Chu Chong-Woo
Lee Dong-Shik
Kim Hong-Jin
Park Sang-Jae
Han Sung-Sik
Song Tae-Jin
Ahn Young-Joon
Yoo Yung-Kyung
Yu Hee-Chul
Yoon Dong-Sup
Lee Min-Koo
Lee Hyeon-Kook
Min Seog-Ki
Jeong Chi-Young
Hong Soon-Chan
Choi In-Seok
Hur Kyung-Yul
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Abstract
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Since laparoscopic liver resection was first introduced in 2001, Korean surgeons have chosen a laparoscopic procedure as one of the treatment options for benign or malignant liver disease. We distributed and analyzed a nationwide questionnaire to members of the Korean Laparoscopic Liver Surgery Study Group (KLLSG) in order to evaluate the current status of laparoscopic liver resection in Korea. Questionnaires were sent to 24 centers of KLLSG. The questionnaire consisted of operative procedure, histological diagnosis of liver lesions, indications for resection, causes of conversion to open surgery, and postoperative outcomes. A laparoscopic liver resection was performed in 416 patients from 2001 to 2008. Of 416 patients, 59.6% had malignant tumors, and 40.4% had benign diseases. A total laparoscopic approach was performed in 88.7%. Anatomical laparoscopic liver resection was more commonly performed than non-anatomical resection (59.9% vs 40.1%). The anatomical laparoscopic liver resection procedures consisted of a left lateral sectionectomy (29.3%), left hemihepatectomy (19.2%), right hemihepatectomy (6%), right posterior sectionectomy (4.3%), central bisectionectomy (0.5%), and caudate lobectomy (0.5%). Laparoscopy-related serious complications occurred in 12 (2.8%) patients. The present study findings provide data in terms of indication, type and method of liver resection, and current status of laparoscopic liver resection in Korea.
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KEYWORD
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Laparoscopic Liver Resection, Laparoscopy, Anatomical Liver Resection, Liver Diseases, HCC
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