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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    https://doi.org/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 Author(s): Feng Jiexiong,Email:fengjiexiong@gmail.com   
Issue Date: 05 December 2011
 Cite this article:   
Jia Wei,Jiexiong Feng. Laparoscopic treatment of liver diseases in children[J]. Front Med, 2011, 5(4): 388-394.
 URL:  
https://academic.hep.com.cn/fmd/EN/10.1007/s11684-011-0165-3
https://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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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
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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
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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
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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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