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Frontiers of Medicine

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ISSN 2095-0225(Online)

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Front Med    2013, Vol. 7 Issue (4) : 520-522    https://doi.org/10.1007/s11684-013-0302-2
COMMENTARY
A step forward in laparoscopic hepatectomy: comments on “Expert Consensus on Laparoscopic Hepatectomy (2013 Version) by National Hepatic Surgery Group, Society of Surgery, Chinese Medical Association”
Eric C.H. Lai()
Department of Surgery, Pamela Youde Nethersole Eastern Hospital, Chai Wan, Hong Kong, China
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Corresponding Author(s): Lai Eric C.H.,Email:ericlai@alumni.cuhk.edu.hk   
Issue Date: 05 December 2013
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Eric C.H. Lai. A step forward in laparoscopic hepatectomy: comments on “Expert Consensus on Laparoscopic Hepatectomy (2013 Version) by National Hepatic Surgery Group, Society of Surgery, Chinese Medical Association”[J]. Front Med, 2013, 7(4): 520-522.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-013-0302-2
https://academic.hep.com.cn/fmd/EN/Y2013/V7/I4/520
OperativeImproved visual view with magnificationDecreased blood lossDecreased collateral venous drainage, especially in patients with liver cirrhosis and portal hypertensionLess intra-abdominal adhesion formation
Post-operative recoveryBetter cosmetic outcomeReduced postoperative painEarlier ambulation and diet intakeImproved perioperative pulmonary recoveryFewer surgical site infectionReduced postoperative immune suppressionFasten postoperative recovery time
Tab.1  Potential advantages of minimally invasive liver surgery
Total laparoscopic approachHand-assisted laparoscopic approach
Advantages? Less wound pain? Better cosmetic outcome? Facilitation in manual retraction? Feasibility in assessing margins of resection with the use of tactile sensation? Possibility of immediate hemostasis by hand compression? Decrease the chance of air embolism in case of the venous injury
Disadvantages? Loss of tactile feedback? Obstruction of the visual field by the surgeon’s own hand? Poorer cosmetic outcome and hand port wound pain
Tab.2  Differences between total laparoscopic approach and hand-assisted laparoscopic approach
Fig.1  Surgical scar after open hepatectomy.
Fig.2  Surgical scar after laparoscopic hepatectomy.
1 Expert Consensus on Laparoscopic Hepatectomy. (2013 Version). National Hepatic Surgery Group, Society of Surgery, Chinese Medical Association. Chin J Dig Surg (Zhonghua Xiao Hua Wai Ke Za Zhi) 2013; 12: 161-165 (in Chinese)
2 Buell JF, Cherqui D, Geller DA, O’Rourke N, Iannitti D, Dagher I, Koffron AJ, Thomas M, Gayet B, Han HS, Wakabayashi G, Belli G, Kaneko H, Ker CG, Scatton O, Laurent A, Abdalla EK, Chaudhury P, Dutson E, Gamblin C, D’Angelica M, Nagorney D, Testa G, Labow D, Manas D, Poon RT, Nelson H, Martin R, Clary B, Pinson WC, Martinie J, Vauthey JN, Goldstein R, Roayaie S, Barlet D, Espat J, Abecassis M, Rees M, Fong Y, McMasters KM, Broelsch C, Busuttil R, Belghiti J, Strasberg S, Chari RS; World Consensus Conference on Laparoscopic Surgery. The international position on laparoscopic liver surgery: the Louisville Statement, 2008. Ann Surg 2009; 250(5): 825-830
doi: 10.1097/SLA.0b013e3181b3b2d8 pmid: PMID:19916210
3 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
doi: 10.1007/s00595-010-4337-6 pmid:21191689
4 Nguyen KT, Marsh JW, Tsung A, Steel JJ, Gamblin TC, Geller DA. Comparative benefits of laparoscopic vs open hepatic resection: a critical appraisal. Arch Surg 2011; 146(3): 348-356
doi: 10.1001/archsurg.2010.248 pmid:21079109
5 Mirnezami R, Mirnezami AH, Chandrakumaran K, Abu Hilal M, Pearce NW, Primrose JN, Sutcliffe RP. Short- and long-term outcomes after laparoscopic and open hepatic resection: systematic review and meta-analysis. HPB (Oxford) 2011; 13(5): 295-308
doi: 10.1111/j.1477-2574.2011.00295.x pmid:21492329
6 Cai XJ, Yang J, Yu H, Liang X, Wang YF, Zhu ZY, Peng SY. Clinical study of laparoscopic versus open hepatectomy for malignant liver tumors. Surg Endosc 2008; 22(11): 2350-2356
doi: 10.1007/s00464-008-9789-z pmid:18297354
7 Lai EC, Tang CN, Ha JP, Li MK. Laparoscopic liver resection for hepatocellular carcinoma: ten-year experience in a single center. Arch Surg 2009; 144(2): 143-147, discussion 148
doi: 10.1001/archsurg.2008.536 pmid:19221325
8 Lai EC, Tang CN, Yang GP, Li MK. Multimodality laparoscopic liver resection for hepatic malignancy—from conventional total laparoscopic approach to robot-assisted laparoscopic approach. Int J Surg 2011; 9(4): 324-328
doi: 10.1016/j.ijsu.2011.02.004 pmid:21334468
9 Lai EC, Tang CN, Li MK. Robot-assisted laparoscopic hemi-hepatectomy: technique and surgical outcomes. Int J Surg 2012; 10(1): 11-15
doi: 10.1016/j.ijsu.2011.10.005 pmid:22079835
10 Lai EC, Yang GP, Tang CN. Robot-assisted laparoscopic liver resection for hepatocellular carcinoma: short-term outcome. Am J Surg 2013; 205(6): 697-702
doi: 10.1016/j.amjsurg.2012.08.015 pmid:23561638
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