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Frontiers of Medicine

ISSN 2095-0217

ISSN 2095-0225(Online)

CN 11-5983/R

Postal Subscription Code 80-967

2018 Impact Factor: 1.847

Front Med    2011, Vol. 5 Issue (4) : 388-394     DOI: 10.1007/s11684-011-0165-3
REVIEW |
Laparoscopic treatment of liver diseases in children
Jia Wei, Jiexiong Feng()
Department of Pediatric Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
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Abstract  

Laparoscopic liver surgery has been increasingly used for the treatment of pediatric liver diseases over the past decade due to the development of special laparoscopic instruments and improvements in the technique. A number of factors are considered when electing to undergo the surgical process, including age, type of liver disease, and so on. Especially in children with liver masses, the number of trocars used and the position of their placement must be carefully designed to achieve successful outcomes. In the current review, the application of various laparoscopic instruments and the methods used for the laparoscopic treatment of liver diseases in children over the past decade are summarized.

Keywords laparoscopic surgery      liver mass      pediatric     
Corresponding Authors: Feng Jiexiong,Email:fengjiexiong@gmail.com   
Issue Date: 05 December 2011
URL:  
http://academic.hep.com.cn/fmd/EN/10.1007/s11684-011-0165-3     OR     http://academic.hep.com.cn/fmd/EN/Y2011/V5/I4/388
DiseaseAuthorYearNo. of patientsLocation of lesionMaximum size (cm)Location of trocarsSizes of trocars (cm)Time of surgery
Hydatid cyst of the liverMaazoun Kais et al.200734Umbilicus; right and left hypochondrium.5, 5, 10
Solitary liver cystsSaxena et al.20061Right lobe2.1 × 5Linea alba; left epigastrium; right hypogastrium.2.7, 2.7, 2.790 min
Jain Prashant et al.20081Portal structures9 × 7Umbilicus; right hypogastrium.5,3
Tim N. Rogers et al.20061Right lobe, segments 5-817 × 12.5
Benign tumorDutta Sanjeev et al.20071Right hepatic lobe involving V and IVb11 × 10 × 7Umbilicus; right midabdomen; left hyperchondrium; and left midabdomen5, 5, 5, 12150 min
Yoon Yoo-Seok et al.20061Segments 2 and 3.8 × 8umbilicus; 2 cm left of the midline; anterior axillary line below the right costal margin; 3 or 4 cm caudal to the third trocar.10, 10, 10, 12
Yeung Chung Kwon et al.20061Segments II and III, left lobe.3 × 4Transumbilicus; right and left upper quadrant.5, 5, 5, 5150 min
Blunt liver traumaFeleppa Cosimo et al.20091Left lobe, segment 25-6 (cystic lesion)
Liver abscessesRavishankaran et al.20101Segments 2 and 4 of left lobe3.1, 1.5, 1.8.Umbilicus; along the midclavicular line; in line with the umbilicus.5, 5, 5
Tab.1  Reports on the use of laparoscopic surgery in the treatment of pediatric liver disease
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3 Koffron AJ, Kung RD, Auffenberg GB, Abecassis MM. Laparoscopic liver surgery for everyone: the hybrid method. Surgery 2007;142:463–8; discussion 468 e1-2 .
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6 Maazoun K, Mekki M, Chioukh FZ, Sahnoun L, Ksia A, Jouini R, Jallouli M, Krichene I, Belghith M, Nouri A. Laparoscopic treatment of hydatid cyst of the liver in children:a report on 34 cases. J Pediatr Surg 2007; 42(10): 1683–1686
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8 Yagci G, Ustunsoz B, Kaymakcioglu N, Bozlar U, Gorgulu S, Simsek A, Akdeniz A, Cetiner S, Tufan T. Results of surgical, laparoscopic, and percutaneous treatment for hydatid disease of the liver: 10 years experience with 355 patients. World J Surg 2005; 29(12): 1670–1679
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9 Akcan A, Akyildiz H, Artis T, Ozturk A, Deneme MA, Ok E, Sozuer E. Peritoneal perforation of liver hydatid cysts: clinical presentation, predisposing factors, and surgical outcome. World J Surg 2007; 31(6): 1286–1291
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10 Rogers TN, Woodley H, Ramsden W, Wyatt JI, Stringer MD. Solitary liver cysts in children: not always so simple. J Pediatr Surg 2007; 42(2): 333–339
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11 Hansman MF, Ryan JA Jr, Holmes JH 4th, Hogan S, Lee FT, Kramer D, Biehl T. Management and long-term follow-up of hepatic cysts. Am J Surg 2001; 181(5): 404–410
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12 Saxena AK. van Tuil C. Laparoscopic resection of solitary congenital liver cyst in a neonate. Surg Laparosc Endosc Percutan Tech 2006; 16(2):99–101
13 Jain P, Shah H, Parelkar S. Laparoscopic deroofing of congenital solitary liver cyst in a neonate managed at day 16 of life. J Laparoendosc Adv Surg Tech A 2008; 18(3): 477–480
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15 Ardito F, Tayar C, Laurent A, Karoui M, Loriau J, Cherqui D. Laparoscopic liver resection for benign disease. Arch Surg 2007; 142(12): 1188–1193 , discussion 1193
doi: 10.1001/archsurg.142.12.1188 pmid:18086986
16 Dutta S, Nehra D, Woo R, Cohen I. Laparoscopic resection of a benign liver tumor in a child. J Pediatr Surg 2007; 42(6): 1141–1145
doi: 10.1016/j.jpedsurg.2007.01.045 pmid:17560238
17 Yoon YS, Han HS, Choi YS, Lee SI, Jang JY, Suh KS, Kim SW, Lee KU, Park YH. Total laparoscopic left lateral sectionectomy performed in a child with benign liver mass. J Pediatr Surg 2006; 41(1): e25–e28
doi: 10.1016/j.jpedsurg.2005.10.068 pmid:16410084
18 Yeung CK, Chowdhary SK, Chan KW, Lee KH, Till H. Atypical laparoscopic resection of a liver tumor in a 4-year-old girl. J Laparoendosc Adv Surg Tech A 2006; 16(3): 325–327
doi: 10.1089/lap.2006.16.325 pmid:16796452
19 Bouras AF, Truant S, Pruvot FR. Management of blunt hepatic trauma. J Visc Surg 2010; 147(6): e351–e358
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20 Feleppa C, D’Ambra L, Berti S, Magistrelli P, Sani C, Falco E. Laparoscopic treatment of traumatic rupture of hydatid hepatic cyst—is it feasible?: a case report. Surg Laparosc Endosc Percutan Tech 2009; 19(4): e140–e142
doi: 10.1097/SLE.0b013e3181a6f221 pmid:19692866
21 Schmidt B, Schimpl G, H?llwarth ME. Blunt liver trauma in children. Pediatr Surg Int 2004; 20(11-12): 846–850
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22 Ravishankaran P, Rajamani G. Liver abscesses with pyopericardium: laparoscopic management in a preterm neonate. J Indian Assoc Pediatr Surg 2010; 15(2): 72–73
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23 Gigot JF, Glineur D, Santiago Azagra J, Goergen M, Ceuterick M, Morino M, Etienne J, Marescaux J, Mutter D, van Krunckelsven L, Descottes B, Valleix D, Lachachi F, Bertrand C, Mansvelt B, Hubens G, Saey JP, Schockmel R. Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann Surg 2002; 236(1): 90–97
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24 Croome KP, Yamashita MH. Laparoscopic vs open hepatic resection for benign and malignant tumors: an updated meta-analysis. Arch Surg 2010; 145(11): 1109–1118
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25 Kazaryan AM, Pavlik Marangos I, Rosseland AR, R?sok BI, Mala T, Villanger O, Mathisen O, Giercksky KE, Edwin B. Laparoscopic liver resection for malignant and benign lesions: ten-year Norwegian single-center experience. Arch Surg 2010; 145(1): 34–40
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26 Chan KW, Lee KH, Tam YH, Yeung CK. Minimal invasive surgery in pediatric solid tumors. J Laparoendosc Adv Surg Tech A 2007; 17(6): 817–820
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27 Mizuguchi T, Kawamoto M, Meguro M, Shibata T, Nakamura Y, Kimura Y, Furuhata T, Sonoda T, Hirata K. Laparoscopic hepatectomy: a systematic review, meta-analysis, and power analysis. Surg Today 2011; 41(1): 39–47
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28 Simillis C, Constantinides VA, Tekkis PP, Darzi A, Lovegrove R, Jiao L, Antoniou A. Laparoscopic versus open hepatic resections for benign and malignant neoplasms—a meta-analysis. Surgery 2007; 141(2): 203–211
doi: 10.1016/j.surg.2006.06.035 pmid:17263977
29 Cherqui D, Husson E, Hammoud R, Malassagne B, Stéphan F, Bensaid S, Rotman N, Fagniez PL. Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 2000; 232(6): 753–762
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