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Laparoscopic Liver Surgery in Benign Liver Lesions

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Benign Tumors of the Liver

Abstract

Laparoscopic liver surgery is expanding, and many studies have demonstrated the safety, feasibility, and advantages of the laparoscopic approach. Laparoscopic liver resection is a routine approach for a variety of liver lesions. Incidental benign liver lesions are increasingly diagnosed due to widespread availability and application of modern imaging. It is important to note that availability of laparoscopic liver surgery should not lead to relaxation in surgical indications for benign liver lesions. A multidisciplinary discussion should proceed prior to recommendation of surgery in benign liver lesions. Some of the benefits of minimal access surgery like shorter hospital stay, early return to work, and improved cosmesis are more appealing to young patients with benign disease. We believe that whenever a liver resection is indicated for benign liver lesions, laparoscopic approach should be considered if expertise is available. Laparoscopic liver resection should only be performed in specialized centers.

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Notes

  1. 1.

    The percentages do not add to 100 % as there would be some conversions from pure laparoscopy to hand-assisted laparoscopy, from hand-assisted laparoscopy to a laparotomy, and some primary thoracoscopic liver resections.

References

  1. Litynski GS (1998) Erich Mühe and the rejection of laparoscopic cholecystectomy (1985): a surgeon ahead of his time. JSLS 2:341–346

    PubMed Central  CAS  PubMed  Google Scholar 

  2. Blum CA, Adams DB (2011) Who did the first laparoscopic cholecystectomy? J Minim Access Surg 7:165–168

    Article  PubMed Central  PubMed  Google Scholar 

  3. NIH Consensus Conference (1993) Gallstones and laparoscopic cholecystectomy. JAMA 269:1018–1024

    Article  Google Scholar 

  4. Sain AH (1996) Laparoscopic cholecystectomy is the current “gold standard” for the treatment of gallstone disease. Ann Surg 224:689–690

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  5. Simillis C, Constantinides VA, Tekkis PP, Darzi A, Lovegrove R, Jiao L, Antoniou A (2007) Laparoscopic versus open hepatic resections for benign and malignant neoplasms: a meta-analysis. Surgery 141:203–211

    Article  PubMed  Google Scholar 

  6. Buell JF, Cherqui D, Geller DA et al (2009) The international position on laparoscopic liver surgery: the Louisville Statement, 2008. Ann Surg 250:825–830

    Article  PubMed  Google Scholar 

  7. Salky B, Finkel S (1985) Laparoscopic drainage of amebic liver abscess. Gastrointest Endosc 31:30–32

    Article  CAS  PubMed  Google Scholar 

  8. Klotz HP, Schlumpf R, Weder W, Largiadèr F (1993) Minimal invasive surgery for treatment of enlarged symptomatic liver cysts. Surg Laparosc Endosc 3:351–353

    Article  CAS  PubMed  Google Scholar 

  9. Katkhouda N, Fabiani P, Benizri E, Mouiel J (1992) Laser resection of a liver hydatid cyst under videolaparoscopy. Br J Surg 79:560–561

    Article  CAS  PubMed  Google Scholar 

  10. Wayand W, Woisetschläger R (1993) Laparoscopic resection of liver metastasis. Chirurg 64:195–197

    CAS  PubMed  Google Scholar 

  11. Gagner M, Rheault M, Dubuc J (1992) Laparoscopic partial hepatectomy for liver tumor [abstract]. Surg Endosc 6:99

    Google Scholar 

  12. Buell JF, Thomas MT, Rudich S, Marvin M, Nagubandi R, Ravindra KV, Brock G, Mc-Masters KM (2008) Experience with more than 500 minimally invasive hepatic procedures. Ann Surg 248:475–486

    PubMed  Google Scholar 

  13. Koffron AJ, Auffenberg G, Kung R, Abecassis M (2007) Evaluation of 300 minimally invasive liver resections at a single institution: less is more. Ann Surg 246:385–392

    Article  PubMed Central  PubMed  Google Scholar 

  14. Laurence J et al (2007) Laparoscopic hepatectomy, a systematic review. ANZ J Surg 77:948–953

    Article  PubMed  Google Scholar 

  15. Johnstone PA, Rohde DC, Swartz SE, Fetter JE, Wexner SD (1996) Port site recurrences after laparoscopic and thoracoscopic procedures in malignancy. J Clin Oncol 14:1950–1956

    CAS  PubMed  Google Scholar 

  16. Paolucci V, Schaeff B, Schneider M, Gutt C (1999) Tumor seeding following laparoscopy: international survey. World J Surg 23:989–995

    Article  CAS  PubMed  Google Scholar 

  17. Volz J, Koster S, Spacek Z, Paweletz N (1999) The influence of pneumoperitoneum used in laparoscopic surgery on an intra-abdominal tumor growth. Cancer 86:770–774

    Article  CAS  PubMed  Google Scholar 

  18. Cherqui D, Husson E, Hammoud R, Malassagne B, Stéphan F, Bensaid S, Rotman N, Fagniez PL (2000) Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 232(6):753–762

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  19. Aldrighetti L et al (2008) A prospective evaluation of laparoscopic versus open left lateral hepatic sectionectomy. J Gastrointest Surg 12:457–462

    Article  PubMed  Google Scholar 

  20. Rau HG et al (1998) Laparoscopic liver resection compared with conventional partial hepatectomy—a prospective analysis. Hepatogastroenterology 45:2333–2338

    CAS  PubMed  Google Scholar 

  21. Dagher I, Proske JM, Carloni A, Richa H, Tranchart H, Franco D (2007) Laparoscopic liver resection: results for 70 patients. Surg Endosc 21(4):619–624

    Article  CAS  PubMed  Google Scholar 

  22. Abu Hilal M, Pearce NW (2008) Laparoscopic left lateral liver sectionectomy: a safe, efficient reproducible technique. Dig Surg 25(4):305–308

    Article  CAS  PubMed  Google Scholar 

  23. Abu Hilal M, Di Fabio F, Teng MJ, Lykoudis P, Primrose JN, Pearce NW (2011) Single-centre comparative study of laparoscopic versus open right hepatectomy. J Gastrointest Surg 15(5):818–823

    Article  PubMed  Google Scholar 

  24. Abu Hilal M, McPhail MJ, Zeidan B, Zeidan S, Hallam MJ, Armstrong T, Primrose JN, Pearce NW (2008) Laparoscopic versus open left lateral hepatic sectionectomy: a comparative study. Eur J Surg Oncol 34(12):1285–1288

    Article  CAS  PubMed  Google Scholar 

  25. Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection-2,804 patients. Ann Surg 250:831–841

    Article  PubMed  Google Scholar 

  26. Abu Hilal M, Underwood T, Zuccaro M, Primrose J, Pearce N (2010) Short- and medium-term results of totally laparoscopic resection for colorectal liver metastases. Br J Surg 97(6):927–933

    Article  CAS  PubMed  Google Scholar 

  27. Cherqui D, Rahmouni A, Charlotte F et al (1995) Management of focal nodular hyperplasia and hepatocellular adenoma in young women: a series of 41 patients with clinical, radiological, and pathological correlations. Hepatology 22(6):1674–1681

    Article  CAS  PubMed  Google Scholar 

  28. Weimann A, Ringe B, Klempnauer J, Lamesch P, Gratz KF, Prokop M, Maschek H, Tusch G, Pichlmayr R (1997) Benign liver tumors: differential diagnosis and indications for surgery. World J Surg 21:983–990

    Article  CAS  PubMed  Google Scholar 

  29. Kammula US, Buell JF, Labow DM, Rosen S, Millis JM, Posner MC (2001) Surgical management of benign tumors of the liver. Int J Gastrointest Cancer 30:141–146

    Article  CAS  PubMed  Google Scholar 

  30. Terkivatan T, de Wilt JH, de Man RA, van Rijn RR, Zondervan PE, Tilanus HW, IJzermans JN (2001) Indications and long-term outcome of treatment for benign hepatic tumors: a critical appraisal. Arch Surg 136:1033–1038

    Article  CAS  PubMed  Google Scholar 

  31. Liu CL, Fan ST, Lo CM et al (2004) Hepatic resection for incidentaloma. J Gastrointest Surg 8:785–793

    Article  PubMed  Google Scholar 

  32. Cherny CK, Jarnagin WR, Schwartz LH et al (2001) Management of 155 patients with benign liver tumours. Br J Surg 88(6):808–813

    Article  Google Scholar 

  33. Choi BY, Nguyen MH (2005) The diagnosis and management of benign hepatic tumors. J Clin Gastroenterol 39(5):401–412

    Article  PubMed  Google Scholar 

  34. Belghiti J, Paterson D, Panis Y et al (1993) Resection of presumed benign liver tumours. Br J Surg 80(3):380–383

    Article  CAS  PubMed  Google Scholar 

  35. Buell JF, Tranchart H, Cannon R et al (2010) Management of benign hepatic tumors. Surg Clin North Am 90(4):719–735

    Article  PubMed  Google Scholar 

  36. Li SQ, Liang LJ, Peng BG et al (2012) Outcomes of liver resection for intrahepatic stones: a comparative study of unilateral versus bilateral disease. Ann Surg 255:946–953

    Article  PubMed  Google Scholar 

  37. Trotter JF, Everson GT (2001) Benign focal lesions of the liver. Clin Liver Dis 5(1):17–42

    Article  CAS  PubMed  Google Scholar 

  38. Baer HU, Dennison AR, Mouton W et al (1992) Enucleation of giant hemangiomas of the liver: technical and pathologic aspects of a neglected procedure. Ann Surg 216(6):673–676

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  39. Gedaly R, Pomposelli JJ, Pomfret EA et al (1999) Cavernous hemangioma of the liver: anatomic resection vs enucleation. Arch Surg 134(4):407–411

    Article  CAS  PubMed  Google Scholar 

  40. Yoon SS, Charny CK, Fong Y et al (2003) Diagnosis, management, and outcomes of 115 patients with hepatic hemangioma. J Am Coll Surg 197(3):392–402

    Article  PubMed  Google Scholar 

  41. Nagorney DM (1995) Benign hepatic tumors: focal nodular hyperplasia and hepatocellular adenoma. World J Surg 19(1):13–18

    Article  CAS  PubMed  Google Scholar 

  42. Abu Hilal M, Di Fabio F, Wiltshire DR et al (2011) Laparoscopic liver resection for hepatocellular adenoma. World J Gastrointest Surg 3(7):101–105

    Article  PubMed  Google Scholar 

  43. Deneve JL, Pawlik TM, Cunningham S et al (2009) Liver cell adenoma: a multicenter analysis of risk factors for rupture and malignancy. Ann Surg Oncol 16(3):640–648

    Article  PubMed  Google Scholar 

  44. Cho SW, Marsh JW, Steel J et al (2008) Surgical management of hepatocellular adenoma: take it or leave it? Ann Surg Oncol 15:2795–2803

    Article  PubMed  Google Scholar 

  45. Larssen TB, Rorvik J, Hoff SR et al (2005) The occurrence of asymptomatic and symptomatic simple hepatic cysts. A prospective, hospital-based study. Clin Radiol 60(9):1026–1029

    Article  CAS  PubMed  Google Scholar 

  46. Dixon E, Sutherland FR, Mitchell P et al (2001) Cystadenomas of the liver: a spectrum of disease. Can J Surg 44(5):313–376

    Google Scholar 

  47. Devaney K, Goodman ZD, Ishak KG et al (1994) Hepatobiliary cystadenoma and cystadenocarcinoma. A light microscopic and immunohistochemical study of 70 patients. Am J Surg Pathol 18(11):1078–1091

    Article  CAS  PubMed  Google Scholar 

  48. Ishak KG, Willis GW, Cummins SD et al (1977) Biliary cystadenoma and cystadenocarcinoma: report of 14 cases and review of the literature. Cancer 39(1):322–338

    Article  CAS  PubMed  Google Scholar 

  49. Truant S, Bouras AF, Petrovai G et al (2013) Volumetric gain of the liver after major hepatectomy in obese patients: a case-matched study in 84 patients. Ann Surg 258:696–702

    Article  PubMed  Google Scholar 

  50. Ferrero A, Viganò L, Polastri R et al (2007) Postoperative liver dysfunction and future remnant liver: where is the limit? Results of a prospective study. World J Surg 31:1643–1651

    Article  PubMed  Google Scholar 

  51. Kishi Y, Abdalla EK, Chun YS et al (2009) Three hundred and one consecutive extended right hepatectomies: evaluation of outcome based on systematic liver volumetry. Ann Surg 250:540–548

    PubMed  Google Scholar 

  52. Cunningham JD, Fong Y, Shriver C et al (1994) One hundred consecutive hepatic resections: blood loss, transfusion, and operative technique. Arch Surg 129(10):1050–1056

    Article  CAS  PubMed  Google Scholar 

  53. Melendez JA, Arslan V, Fischer ME et al (1998) Perioperative outcomes of major hepatic resections under low central venous pressure anesthesia: blood loss, blood transfusion, and the risk of postoperative renal dysfunction. J Am Coll Surg 187(6):620–625

    Article  CAS  PubMed  Google Scholar 

  54. Belghiti J, Noun R, Malafosse R et al (1999) Continuous versus intermittent portal triad clamping for liver resection: a controlled study. Ann Surg 229:369–375

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  55. Clavien PA, Yadav S, Sindram D et al (2000) Protective effects of ischemic preconditioning for liver resection performed under inflow occlusion in humans. Ann Surg 232:155–162

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  56. McEntee GP, Nagorney DM (1991) Use of vascular staplers in major hepatic resections. Br J Surg 78(1):40–41

    Article  CAS  PubMed  Google Scholar 

  57. Schemmer P, Friess H, Hinz U et al (2006) Stapler hepatecomy is a safe dissection technique: analysis of 300 patients. World J Surg 30(3):419–430

    Article  PubMed  Google Scholar 

  58. Balaa FK, Tsung A, Gamblin TC et al (2008) Right hepatic lobectomy using the staple technique in 101 patients. J Gastrointest Surg 12(2):338–343

    Article  PubMed  Google Scholar 

  59. Nakamura S, Tsuzuki T (1981) Surgical anatomy of the hepatic veins and the inferior vena cava. Surg Gynecol Obstet 152(1):43–50

    CAS  PubMed  Google Scholar 

  60. Abu Hilal M, Di Fabio F, Teng MJ et al (2011) Surgical management of benign and indeterminate hepatic lesions in the era of laparoscopic liver surgery. Dig Surg 28:232–236

    Article  PubMed  Google Scholar 

  61. Koller M, Lorenz W (2002) Quality of life: a deconstruction for clinicians. J R Soc Med 95:481–488

    Article  PubMed Central  PubMed  Google Scholar 

  62. Ardito F, Tayar C, Laurent A et al (2007) Laparoscopic liver resection for benign disease. Arch Surg 142:1188–1193

    Article  PubMed  Google Scholar 

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Correspondence to Mohammad Abu Hilal MD, PhD, FRCS, DocEur .

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Shelat, V.G., Cipriani, F., Abu Hilal, M. (2015). Laparoscopic Liver Surgery in Benign Liver Lesions. In: Aldrighetti, L., Cetta, F., Ferla, G. (eds) Benign Tumors of the Liver. Springer, Cham. https://doi.org/10.1007/978-3-319-12985-3_19

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  • DOI: https://doi.org/10.1007/978-3-319-12985-3_19

  • Publisher Name: Springer, Cham

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