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Article: Current role of laparoscopic surgery for liver malignancies.

TitleCurrent role of laparoscopic surgery for liver malignancies.
Authors
Issue Date2007
Citation
Surgical Technology International, 2007, v. 16, p. 73-81 How to Cite?
AbstractThe use of laparoscopic surgery in managing liver malignancies has been developed only recently because of the complexity of liver surgery. Diagnostic laparoscopy is useful in staging liver malignancies before resection. The need for laparoscopic staging of colorectal liver metastasis has diminished as a result of better imaging technology such as positron emission tomography (PET). Laparoscopy still plays an important role in the staging of hepatocellular carcinoma because of the high incidences of multifocal tumors and venous invasion. Recently, laparoscopic liver resection was possible with the availability of new instruments that allow relatively bloodless liver transection. Small series have reported a conversion rate of 10% to 20%, and the complication rate and transfusion rate appeared to be comparable with open surgery in a few retrospective case-control studies. Limited data also suggest that oncological clearance and long-term outcome were not compromised. However, the role of laparoscopic liver resection is confined mainly to wedge or segmental resection of anterior segments of the right lobe and left lateral segments. Although successful laparoscopic hemihepatectomy and resections of segments VII and VIII have been reported at the time of this writing, these should be attempted only in centers that have already acquired wide experience with laparoscopic liver resection. Another application of laparoscopic surgery for the management of liver malignancies is laparoscopic radiofrequency ablation, which is gaining popularity because of its well-documented safety and efficacy. With further developments in technology, that laparoscopic surgery will have a greater impact on the management of liver malignancies is foreseeable in the near future.
Persistent Identifierhttp://hdl.handle.net/10722/172979
ISSN
2015 SCImago Journal Rankings: 0.317

 

DC FieldValueLanguage
dc.contributor.authorPoon, RTen_US
dc.date.accessioned2012-10-30T06:26:10Z-
dc.date.available2012-10-30T06:26:10Z-
dc.date.issued2007en_US
dc.identifier.citationSurgical Technology International, 2007, v. 16, p. 73-81en_US
dc.identifier.issn1090-3941en_US
dc.identifier.urihttp://hdl.handle.net/10722/172979-
dc.description.abstractThe use of laparoscopic surgery in managing liver malignancies has been developed only recently because of the complexity of liver surgery. Diagnostic laparoscopy is useful in staging liver malignancies before resection. The need for laparoscopic staging of colorectal liver metastasis has diminished as a result of better imaging technology such as positron emission tomography (PET). Laparoscopy still plays an important role in the staging of hepatocellular carcinoma because of the high incidences of multifocal tumors and venous invasion. Recently, laparoscopic liver resection was possible with the availability of new instruments that allow relatively bloodless liver transection. Small series have reported a conversion rate of 10% to 20%, and the complication rate and transfusion rate appeared to be comparable with open surgery in a few retrospective case-control studies. Limited data also suggest that oncological clearance and long-term outcome were not compromised. However, the role of laparoscopic liver resection is confined mainly to wedge or segmental resection of anterior segments of the right lobe and left lateral segments. Although successful laparoscopic hemihepatectomy and resections of segments VII and VIII have been reported at the time of this writing, these should be attempted only in centers that have already acquired wide experience with laparoscopic liver resection. Another application of laparoscopic surgery for the management of liver malignancies is laparoscopic radiofrequency ablation, which is gaining popularity because of its well-documented safety and efficacy. With further developments in technology, that laparoscopic surgery will have a greater impact on the management of liver malignancies is foreseeable in the near future.en_US
dc.languageengen_US
dc.relation.ispartofSurgical technology internationalen_US
dc.subject.meshCatheter Ablation - Trendsen_US
dc.subject.meshHepatectomy - Methodsen_US
dc.subject.meshHumansen_US
dc.subject.meshLaparoscopy - Trendsen_US
dc.subject.meshLiver Neoplasms - Pathology - Surgeryen_US
dc.subject.meshSurgical Procedures, Minimally Invasive - Trendsen_US
dc.titleCurrent role of laparoscopic surgery for liver malignancies.en_US
dc.typeArticleen_US
dc.identifier.emailPoon, RT: poontp@hkucc.hku.hken_US
dc.identifier.authorityPoon, RT=rp00446en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid17429772-
dc.identifier.scopuseid_2-s2.0-54849425200en_US
dc.identifier.volume16en_US
dc.identifier.spage73en_US
dc.identifier.epage81en_US
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridPoon, RT=7103097223en_US

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