Minimally invasive surgery of primary and secondary liver tumors. Indications, techniques and results

作者：Kirchberg J^*; Weitz J

来源：Chirurg, 2014, 85(8): 689-695.

DOI：10.1007/s00104-014-2756-4

• Resection
• Laparoscopic
• Patient safety
• Patient positioning
• Survival rate

Initially, mainly superficial liver lesions were resected laparoscopically but now even major resections are performed using a minimally invasive procedure. Careful selection of suitable patients is of key importance.
This article describes the current state of the art in patient selection and choice of the appropriate laparoscopic technique based on a review of the recent literature. Perioperative and oncological outcome parameters of laparoscopic liver resection are presented.
Laparoscopic liver resection offers significant benefits compared to open liver resection in terms of reduced intraoperative blood loss, reduced overall and liver-specific complications and length of hospital stay without compromising oncological outcomes.
Lesions in the peripheral anterolateral segments (segments 2, 3, 4b, 5 and 6) are particularly suitable for laparoscopic liver resection. Access to the posterosuperior segments 1, 4a, 7 and 8 is more challenging but safe and feasible in experienced centers.

• 出版日期2014-8