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Year : 2005  |  Volume : 1  |  Issue : 3  |  Page : 99-109

Laparoscopic liver resections


Professor of Surgery, Scuola Superiore di Studi Universitari, Pisa, Italy

Correspondence Address:
Alfred Cuschieri
Professor of Surgery, Scuola Superiore di Studi Universitari, Pisa
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.18993

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Though still practiced in only a few centres worldwide, laparoscopic liver resections, particularly left hepatectomy offer advantages over the conventional open approach in two important respects: reduced operative blood loss and lower major postoperative morbidity. Two approaches are used: the totally laparoscopic and the hand-assisted technique, which in the author's opinion facilitates both the execution and safety of these procedures, especially major resection of the right liver (right hepatectomy and pluri-segmentectomies). Technologies, which have enabled hepatic resections include: laparoscopic contact ultrasound, linear cutting staplers, ultrasonic dissection, LigaSure and TissueLink. The components operative steps necessary for these resections as practised by the author are described in this review.






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© 2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04