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ORIGINAL ARTICLE
Ahead of Print

Laparoscopic hepatectomy for patients who received enterostomy


 Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and PUMC, Beijing, China

Correspondence Address:
Shunda Du,
Department of Liver Surgery, Peking Union Medical College Hospital, 1 Shuai-Fu-Yuan, Wang-Fu-Jing, Beijing 100730
China
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_78_18

PMID: 30106029

Background: Laparoscopic hepatectomy is more conducive to the rapid rehabilitation of patients after surgery compared with open hepatectomy. However, there have been no reports on performing laparoscopic resection for liver metastases in enterostomy patients. Materials: From December 2016 to April 2017, the Liver Surgery Department of the Peking Union Medical College Hospital received three patients who had focal liver lesions after colorectal cancer surgery and enterostomy. We performed laparoscopic hepatectomy for these three patients and reviewed relevant literature. Results: All of these three patients' post-operative recovery was good. We found three different positions of the stomas and the corresponding abdominal adhesions in these three patients. We also summarised several possible related surgical techniques. Conclusion: For patients with colorectal cancer and enterostomy after an operation, implementation of laparoscopic hepatectomy is feasible. Further research is still required for a more comprehensive assessment of this surgical approach.


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