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KMID : 0371320070730060490
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Journal of the Korean Surgical Society
2007 Volume.73 No. 6 p.490 ~ p.495
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Experience of Total Laparoscopic Hepatectomy
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Kim Chang-Gyun
Yoon Yoo-Seok
Han Ho-Seong
Shin Sang-Hyun
Chun Kwang-Sik
Jang Jin-Young
Suh Kyung-Suk
Kim Sun-Whe
Lee Kuhn-Uk
Park Yong-Hyun
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Abstract
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Purpose: The aim of this study is to assess the feasibility and clinical outcomes of laparoscopic liver resection by reviewing our experience of laparoscopic liver resection performed in a single institution.
Methods: We retrospectively analyzed the clinical outcome of 64 patients that had undergone laparoscopic liver resection for various liver diseases between May 2003 and June 2006.
Results: The patients were composed of 36 men and 28 women, with a mean age of 56.9 years. Indications for laparoscopic liver resection included 37 cases of a tumor (20 hepatocellular carcinomas, 8 metastatic cancers and 9 benign tumors) and 25 cases of IHD stones. The surgical procedures were 19 tumorectomy cases, 24 left lateral sectionectomy cases, 15 left hepatectomy cases, 4 right posterior sectionectomy cases and 2 right hepatectomy cases. The mean surgical time was 280.3 minutes. Intraoperative transfusion was required for 18 patients (28.1%). There was one postoperative death (1.6%) due to biliary sepsis after a left lateral sectionectomy for an IHD stone. Postoperative complications developed in 9 cases (14.0%) (2 intraabdominal abscesses, 1 hematoma, 1 bile leakage, 1 ascites, 1 gastric variceal bleeding, 1 ulcer bleeding and 1 anastomosis leakage), all of which were improved by conservative management. The mean postoperative hospital stay was 11.0 days.
Conclusion: Our experience shows that laparoscopic liver resection is a feasible operation and is comparable to surgery with the open method. However, a prospective com-parative study with long term follow-up is needed to confirm the equivalence of the procedures. (J Korean Surg Soc 2007;73:490-495)
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KEYWORD
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Laparoscopy, Hepatectomy
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