Validation of the Laparoscopically Stapled Approach as a Standard Technique for Left Lateral Segment Liver Resection
Tóm tắt
Left lateral sectionectomy (LLS) is the most common type of anatomic laparoscopic liver resection performed, accounting for 20 % of all laparoscopic hepatectomies. Because there has been no standardized surgical technique for laparoscopic left lateral sectionectomy (LLLS), we offer an established operation: laparoscopically stapled left lateral sectionectomy (LSLLS). Our aim was to perform a case-controlled study of LSLLS with traditional (without vascular staplers) laparoscopic left lateral sectionectomy (TLLLS), validating the standardization and reproducibility of LSLLS. From February 2009 to December 2011, a total of 49 LSLLSs were performed. The results were compared with 33 cohort-matched TLLLSs from an earlier time period. Ordered sample cluster analysis was used to determine the learning curve of LSLLS based on the operating time and blood loss. All LSLLS were performed successfully. There were no conversions to laparotomy or hand-assisted laparoscopic resection. Two endoscopic linear staplers were used in each case. Despite a higher hospital cost ($10,892 ± $944 vs. $8,962 ± $943, p < 0.05), LSLLS compared favorably with TLLLS regarding operating time (103 ± 21 vs. 151 ± 32 min, p < 0.05) and blood loss (70.8 ± 41.6 vs. 173.3 ± 131.1 ml, p < 0.05). No specific complications related to laparoscopy were observed. Ordered sample cluster analysis demonstrated a learning curve of 18 cases for LSLLS. This study demonstrates the standardization and reproducibility of LSLLS. We therefore propose LSLLS as the standard technique for lesions located in the left lateral section of the liver.
Tài liệu tham khảo
citation_journal_title=Ann Surg; citation_title=World review of laparoscopic liver resection: 2,804 patients; citation_author=KT Nguyen, TC Gamblin, DA Geller; citation_volume=250; citation_publication_date=2009; citation_pages=831-841; citation_doi=10.1097/SLA.0b013e3181b0c4df; citation_id=CR1
citation_journal_title=Surg Endosc; citation_title=Laparoscopic anatomical (hepatic) left lateral segmentectomy: technical aspects; citation_author=JS Azagra, M Goergen, E Gilbart; citation_volume=10; citation_publication_date=1996; citation_pages=758-761; citation_doi=10.1007/BF00193052; citation_id=CR2
citation_journal_title=Br J Surg; citation_title=Laparoscopic liver resection; citation_author=D Cherqui; citation_volume=90; citation_publication_date=2003; citation_pages=644-646; citation_doi=10.1002/bjs.4197; citation_id=CR3
citation_journal_title=Ann Surg; citation_title=The international position on laparoscopic liver surgery: the Louisville statement, 2008; citation_author=JF Buell, D Cherqui, DA Geller; citation_volume=250; citation_publication_date=2009; citation_pages=825-830; citation_doi=10.1097/SLA.0b013e3181b3b2d8; citation_id=CR4
citation_journal_title=Am J Surg; citation_title=Hepatic resection using stapling devices to control the hepatic veins; citation_author=CR Voyles, SB Vogel; citation_volume=158; citation_publication_date=1989; citation_pages=459-460; citation_doi=10.1016/0002-9610(89)90286-9; citation_id=CR5
citation_journal_title=Am J Surg; citation_title=Vascular endostapler as aid to hepatic vein control during hepatic resections; citation_author=G Ramacciato, AM Balesh, V Fornasari; citation_volume=172; citation_publication_date=1996; citation_pages=358-362; citation_doi=10.1016/S0002-9610(96)00199-7; citation_id=CR6
citation_journal_title=Br J Surg; citation_title=Use of vascular staplers in major hepatic resections; citation_author=GP McEntee, DM Nagorney; citation_volume=78; citation_publication_date=1991; citation_pages=40-41; citation_doi=10.1002/bjs.1800780114; citation_id=CR7
citation_journal_title=J Am Coll Surg; citation_title=Useful stapling techniques in liver surgery; citation_author=Y Fong, LH Blumgart; citation_volume=185; citation_publication_date=1997; citation_pages=93-100; citation_doi=10.1016/S1072-7515(01)00889-4; citation_id=CR8
citation_journal_title=J Gastrointest Surg; citation_title=Laparoscopic stapled left lateral segment liver resection: technique and results; citation_author=BC Linden, A Humar, TD Sielaff; citation_volume=7; citation_publication_date=2003; citation_pages=777-782; citation_doi=10.1016/S1091-255X(03)00099-4; citation_id=CR9
citation_journal_title=Br J Surg; citation_title=Laparoscopy as a routine approach for left lateral sectionectomy; citation_author=S Chang, A Laurent, C Tayar; citation_volume=94; citation_publication_date=2007; citation_pages=58-63; citation_doi=10.1002/bjs.5562; citation_id=CR10
citation_journal_title=J Hepatobiliary Pancreat Surg; citation_title=Laparoscopic left lateral hepatic lobectomy: a safer and faster technique; citation_author=G Belli, C Fantini, A D’Agostino; citation_volume=13; citation_publication_date=2006; citation_pages=149-154; citation_doi=10.1007/s00534-005-1023-y; citation_id=CR11
citation_journal_title=Br J Surg; citation_title=Central venous pressure and its effect on blood loss during liver resection; citation_author=RM Jones, CE Moulton, KJ Hardy; citation_volume=85; citation_publication_date=1998; citation_pages=1058-1060; citation_doi=10.1046/j.1365-2168.1998.00795.x; citation_id=CR12
citation_journal_title=Anesth Analg; citation_title=Blood-transfusion requirements and blood salvage in donors undergoing right hepatectomy for living related liver transplantation; citation_author=JT Lutz, C Valentin-Gamazo, K Gorlinger; citation_volume=96; citation_publication_date=2003; citation_pages=351-355; citation_id=CR13
citation_journal_title=Surgery; citation_title=Laparoscopic partial hepatectomy and left lateral segmentectomy: technique and results of a clinical series; citation_author=H Kaneko, S Takagi, T Shiba; citation_volume=120; citation_publication_date=1996; citation_pages=468-475; citation_doi=10.1016/S0039-6060(96)80065-1; citation_id=CR14
citation_journal_title=Eur J Surg Oncol; citation_title=Laparoscopic versus open left lateral hepatic sectionectomy: a comparative study; citation_author=HM Abu, MJ McPhail, B Zeidan; citation_volume=34; citation_publication_date=2008; citation_pages=1285-1288; citation_doi=10.1016/j.ejso.2008.01.018; citation_id=CR15
citation_journal_title=BMC Surg; citation_title=Laparoscopic versus open left lateral segmentectomy; citation_author=KA Carswell, FG Sagias, B Murgatroyd; citation_volume=9; citation_publication_date=2009; citation_pages=14; citation_doi=10.1186/1471-2482-9-14; citation_id=CR16
citation_journal_title=J Am Coll Surg; citation_title=Laparoscopic versus open left lateral hepatic lobectomy: a case-control study; citation_author=M Lesurtel, D Cherqui, A Laurent; citation_volume=196; citation_publication_date=2003; citation_pages=236-242; citation_doi=10.1016/S1072-7515(02)01622-8; citation_id=CR17
citation_journal_title=J Gastrointest Surg; citation_title=A prospective evaluation of laparoscopic versus open left lateral hepatic sectionectomy; citation_author=L Aldrighetti, C Pulitano, M Catena; citation_volume=12; citation_publication_date=2008; citation_pages=457-462; citation_doi=10.1007/s11605-007-0244-6; citation_id=CR18
citation_journal_title=Med J Qilu; citation_title=Location of the sagittal part of the left branch of the portal vein on the surface of the liver and its clinical significance; citation_author=B Wang, S Wang, Y Xia; citation_volume=19; citation_publication_date=2004; citation_pages=130-131; citation_id=CR19