Abstract
Background
This article introduces a new technique for hepatectomy. Its purpose is to describe the details of laparoscopic hepatectomy by curettage and aspiration (LHCA) and develop a new instrument for this technique.
Methods
We have performed laparoscopic hepatectomy by curettage and aspiration (LHCA) in 62 patients in our institute between 1998 and 2005: 34 men and 28 women, mean age 47.8 years (range: 26–71 years). Their diagnoses included 18 primary hepatic carcinoma, 2 metastatic carcinoma, 19 intrahepatic duct calculus, and 23 benign entities.
Results
The LHCA operation was completed in 60 patients. In two, the procedure had to be converted to open operation. The mean operative time was 146 min and the mean operative blood loss was 458 ml. Complications occurred in two patients, one with bile leakage and the other with pneumothorax. All the patients were ambulatory within 24 hours of operation. The average length of hospital stay was 1 week.
Conclusions
Our experience leads us to believe that laparoscopic hepatectomy by curettage and aspiration (LHCA) is a safe and effective technique for resection of liver lesions.
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References
Biertho L, Waage A, Gagner M (2002) Laparoscopic hepatectomy. Ann Chir 127: 164–170
Cherqui D, Husson E, Hammoud R, Malassagne B, Stephan F, Bensaid S, Rotman N, Fagniez PL (2000) Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 232: 753–762
Descottes B, Lachachi F, Sodji M, Valleix D, Durand-Fontanier S, Pech de Laclause B, Grousseau D (2000) Early experience with laparoscopic approach for solid liver tumors: initial 16 cases. Ann Surg 232: 641–645
Dulucq JL, Wintringer P, Stabilini C, Berticelli J, Mahajna A (2005) Laparoscopic liver resections: a single center experience. Surg Endosc 19: 886–891
Farges O, Jagot P, Kirstetter P, Marty J, Belghiti J (2002) Prospective assessment of the safety and benefit of laparoscopic liver resections. J Hepatobiliary Pancreat Surg 9: 242–248
Kaneko H, Takagi S, Otsuka Y, Tsuchiya M, Tamura A, Katagiri T, Maeda T, Shiba T (2005) Laparoscopic liver resection of hepatocellular carcinoma. Am J Surg 189: 190–194
Mala T, Edwin B, Rosseland AR, Gladhaug I, Fosse E, Mathisen O (2005) Laparoscopic liver resection: experience of 53 procedures at a single center. J Hepatobiliary Pancreat Surg 12: 298–303
Mouiel J, Katkhouda N, Gugenheim J, Fabiani P (2000) Possibilities of laparoscopic liver resection. J Hepatobiliary Pancreat Surg 7: 1–8
Teramoto K, Kawamura T, Takamatsu S, Nakamura N, Kudo A, Noguchi N, Irie T, Arii S (2005) Laparoscopic and thoracoscopic approaches for the treatment of hepatocellular carcinoma. Am J Surg 189: 474–478
Acknowledgments
This work was supported by foundation of Science and Technology Department of Zhejiang Province under grant 2003C33055.
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Cai, X., Yu, H., Liang, X. et al. Laparoscopic hepatectomy by curettage and aspiration. Surg Endosc 20, 1531–1535 (2006). https://doi.org/10.1007/s00464-005-0765-6
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DOI: https://doi.org/10.1007/s00464-005-0765-6