Recent advance in laparoscopic hepatectomy

VernacularTitle:腹腔镜肝切除术的进展
Author: Chunming YANG
Publication Type:Journal Article
Keywords: Laparoscopic hepatectomy; Hepatocellular carcinoma; Colorectal cancer liver metastases
From: Chinese Journal of Hepatobiliary Surgery 2011;17(8):610-613
CountryChina
Language:Chinese
Abstract: Laparoscopic hepatectomy (LH) has been an incredible proliferation worldwide. many series have demonstrate that LH decreases intraoperative bleeding, postoperative compliceations and the duration of hospital stay. When compared with open hepatectomy(OP). Since the first LH was reported in 1992, near to 3000 cases have been reported,it's morbidity and mortality are 10. 5% and 0. 3% respectively. There are three terms should be used describe LH: pure laparoscopy, hand-assisted laparoscopy, and hybrid technique. In the beginning of LH, both resections were performed using the ultrasonic dissector and electrocautery,the operation included small wedge resection, liver cyst resection, and liver briopsy, however, while improvements in technology,as harmornic scalpel, endovasculer stapling devices, water jet, LigaSure, TissurLink, Habib etc. With increased experience, surgeons became holder and began to performe larger LH. But the keypoint of LH was use of portal inflow occlusion,and technique of paranchymal transection.