Total laparoscopic liver resection in 78 patients

摘要： AIM: To summarize the clinical experience of laparoscopic hepatectomy at a single center. METHODS: Between November 2003 and March 2009, 78 patients with hepatocellular carcinoma (n = 39), metastatic liver carcinoma (n = 10), and benign liver neoplasms (n = 29) underwent laparoscopic hepatectomy in our unit. A retrospective analysis was done on the clinical outcomes of the 78 patients.RESULTS:The lesions were located in segments—(n=3),□(n=16),□(n=24),□(n=11),□(n=11),□(n=9),and □(n=4).The lesion sizes ranged from0.8 to 15 cm.The number of lesions was three(n=4),two(n=8)and one(n=66)in the study cohort.Thesurgical procedures included left hemi-hepatectomy(n=7),left lateral lobectomy(n=14),segmentectomy(n=11),local resection(n=39),and resection ofmetastatic liver lesions during laparoscopic surgeryfor rectal cancer(n=7).Laparoscopic liver resectionwas successful in all patients,with no conversion toopen procedures.Only four patients received bloodtransfusion(400-800 mL).There were no perioperativecomplications,such as bleeding and biliary leakage.Theliver function of all patients recovered within 1 wk,and no liver failure occurred.CONCLUSION: Laparoscopic hepatectomy is a safe and feasible operation with minimal surgical trauma. It should be performed by a surgeon with sufficient experience in open hepatic resection and who is proficient in laparoscopy. ... （共5页）