Journal of Minimal Access Surgery

ORIGINAL ARTICLE
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Year : 2014  |  Volume : 10  |  Issue : 1  |  Page : 14--17

Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery

Tayar Claude1, Subar Daren2, Salloum Chady1, Malek Alexandre1, Laurent Alexis1, Azoulay Daniel1 
1 Digestive, Hepato-Bilio-Pancreatic Surgical and Hepatic Transplantation Service, Henri Mondor Hospital, Creteil, France
2 Digestive, Hepato-Bilio-Pancreatic Surgical and Hepatic Transplantation Service, Henri Mondor Hospital, Creteil, France; Department of General and Hepato-Pancreato-Biliary Surgery, Blackburn Royal Hospital, Blackburn, Lancashire, United Kingdom

Correspondence Address:
Azoulay Daniel
Service Chirurgie Digestive, Hépato-Bilio-Pancréatique et Transplantation Hépatique, Hôpital Henri Mondor, 51 avenue De Lattre De Tassigny, 94010 Créteil, France

Background: Laparoscopic liver surgery is now an established practice in many institutions. It is a safe and feasible approach in experienced hands. Single incision laparoscopic surgery (SILS) has been performed for cholecystectomies, nephrectomies, splenectomies and obesity surgery. However, the use of SILS in liver surgery has been rarely reported. We report our initial experience in seven patients on single incision laparoscopic hepatectomy (SILH). Patients and Methods: From October 2010 to September 2012, seven patients underwent single-incision laparoscopic liver surgery. The abdomen was approached through a 25 mm periumbilical incision. No supplemental ports were required. The liver was transected using a combination of LigaSure TM (Covidien-Valleylab. Boulder. USA), Harmonic Scalpel and Ligaclips (Ethicon Endo-Surgery, Inc.). Results: Liver resection was successfully completed for the seven patients. The procedures consisted of two partial resections of segment three, two partial resections of segment five and three partial resections of segment six. The mean operative time was 98.3 min (range: 60-150 min) and the mean estimated blood loss was 57 ml (range: 25-150 ml). The postoperative courses were uneventful and the mean hospital stay was 5.1 days (range: 1-13 days). Pathology identified three benign and four malignant liver tumours with clear margins. Conclusion: SILH is a technically feasible and safe approach for wedge resections of the liver without oncological compromise and with favourable cosmetic results. This surgical technique requires relatively advanced laparoscopic skills. Further studies are needed to determine the potential advantages of this technique, apart from the better cosmetic result, compared to the conventional laparoscopic approach.


How to cite this article:
Claude T, Daren S, Chady S, Alexandre M, Alexis L, Daniel A. Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery.J Min Access Surg 2014;10:14-17


How to cite this URL:
Claude T, Daren S, Chady S, Alexandre M, Alexis L, Daniel A. Single incision laparoscopic hepatectomy: Advances in laparoscopic liver surgery. J Min Access Surg [serial online] 2014 [cited 2020 Jul 5 ];10:14-17
Available from: http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=1;spage=14;epage=17;aulast=Claude;type=0