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KMID : 0371320100780010035
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Journal of the Korean Surgical Society
2010 Volume.78 No. 1 p.35 ~ p.40
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The Feasibility of Laparoscopic Hepatectomy for the Patients with Left Intrahepatic Stones
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Song Yu-Jeong
Kim Ka-Jeong
Moon Hyung-Gon
Jeong Sang-Ho
Ju Young-Tae
Jung Eun-Jung
Lee Young-Joon
Hong Soon-Chan
Choi Sang-Kyung
Ha Woo-Song
Park Soon-Tae
Jeong Chi-Young
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Abstract
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Purpose: Recently, there have been several studies on the early results of hepatectomy for various intrahepatic lesions. We report the early experience of our hospital after total laparoscopic left hepatectomy in patients with intrahepatic stones in the left hemi-liver.
Methods: We retrospectively analyzed the medical records of patients who were diagnosed with left intrahepatic stones and underwent hepatectomy between January 2007 and June 2009. The patients were grouped according to operative procedure into open hepatectomy, laparoscopy-assisted hepatectomy, and total laparoscopic hepatectomy.
Results: There were 31 patients who underwent Lt hemihepatectomy and Lt lateral sectionectomy during this period. Hepatectomy with open method, laparoscopy-assisted method, and total laparoscopy method were performed in 10, 14, and 7 cases. There were no significant differences between the three methods for operating time and postoperative complications. But the number of fasting times and hospital days was shorter with total laparoscopic hepatectomy than with others.
Conclusion: Total laparoscopic liver resection is a safe and useful method for treating patients with intrahepatic stones and offers the advantage of quick patient recovery. Careful selection of appropriate patients and further development in the laparoscopic surgical technique resulting from accumulated experiences will help enable the laparoscopic hepatectomy to be performed more easily and safely in patients with intrahepatic stones.
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KEYWORD
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Intrahepatic stone, Laparoscopic hepatectomy, Laparoscopy-assisted hepatectomy
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