Laparoscopic vs open hepatic resection: a comparative study.
作者： M. Morino , I. Morra , E. Rosso , C. Miglietta , C. Garrone
DOI: 10.1007/S00464-003-9070-4
关键词:
摘要: Background: Although the feasibility of minor laparoscopic liver resections (LLR) has been demonstrated, data comparing open vs approach to resection are lacking. Methods: We compared 30 LLR with (OLR) in a pair-matched analysis. The indications for were malignant disease 47% and 83% OLR. average size lesions was 42 mm 41 Five wedge resections, 12 segmentectomies, 13 bisegmentectomies performed each group. Results: conversion rate nil. mean operative time 148 min 142 Mean blood loss minimal group (320 479 ml; p < 0.05). Postoperative complications occurred 6.6% patients group; there no deaths. postoperative hospital stay shorter (6.4 8.7 days; In tumors, margin <1 cm 43% 40% OLR (p = NS). Conclusions: Minor anterior segments same rates mortality morbidity as However, reduces stay.
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sci-hub.se 参考文章(19)
E Buttler, H G Rau, F W Schildberg, G Meyer, H M Schardey, Laparoscopic liver resection compared with conventional partial hepatectomy : A prospective analysis Hepato-gastroenterology. ,vol. 45, pp. 2333- 2338 ,(1998)
Bernard Descottes, Fouzi Lachachi, Maxime Sodji, Denis Valleix, Sylvaine Durand-Fontanier, Bertrand Pech, de Laclause, Dominique Grousseau, Early experience with laparoscopic approach for solid liver tumors: initial 16 cases. Annals of Surgery. ,vol. 232, pp. 641- 645 ,(2000) , 10.1097/00000658-200011000-00004
Henri Bismuth, Surgical anatomy and anatomical surgery of the liver World Journal of Surgery. ,vol. 6, pp. 3- 9 ,(1982) , 10.1007/BF01656368
Jean-François Gigot, David Glineur, Juan Santiago Azagra, Martine Goergen, Marc Ceuterick, Mario Morino, José Etienne, Jacques Marescaux, Didier Mutter, Ludo van Krunckelsven, Bernard Descottes, Dominique Valleix, François Lachachi, Claude Bertrand, Baudouin Mansvelt, Guy Hubens, Jean-Pierre Saey, Romain Schockmel, Laparoscopic Liver Resection for Malignant Liver Tumors Annals of Surgery. ,vol. 236, pp. 90- 97 ,(2002) , 10.1097/00000658-200207000-00014
Stefan Schmidbauer, Klaus K. Hallfeldt, Günther Sitzmann, Thorsten Kantelhardt, Arnold Trupka, Experience with ultrasound scissors and blades (UltraCision) in open and laparoscopic liver resection. Annals of Surgery. ,vol. 235, pp. 27- 30 ,(2002) , 10.1097/00000658-200201000-00004
T. C. Schmandra, S. Mierdl, H. Bauer, C. Gutt, E. Hanisch, Transoesophageal echocardiography shows high risk of gas embolism during laparoscopic hepatic resection under carbon dioxide pneumoperitoneum. British Journal of Surgery. ,vol. 89, pp. 870- 876 ,(2002) , 10.1046/J.1365-2168.2002.02123.X
G. Ferzli, A. David, T. Kiel, Laparoscopic resection of a large hepatic tumor Surgical Endoscopy and Other Interventional Techniques. ,vol. 9, pp. 733- 735 ,(1995) , 10.1007/BF00187953
Timothy G. John, J. Donald Greig, Jacqui L. Crosbie, W. F. Anthony Miles, O. James Garden, Superior staging of liver tumors with laparoscopy and laparoscopic ultrasound Annals of Surgery. ,vol. 220, pp. 711- 719 ,(1994) , 10.1097/00000658-199412000-00002
Mario Morino, Maurizio De Giuli, Valentino Festa, Corrado Garrone, Laparoscopic Management of Symptomatic Nonparasitic Cysts of the Liver Indications and Results Annals of Surgery. ,vol. 219, pp. 157- 164 ,(1994) , 10.1097/00000658-199402000-00007
L Biertho, A Waage, M Gagner, Hépatectomies sous laparoscopie Annales De Chirurgie. ,vol. 127, pp. 164- 170 ,(2002) , 10.1016/S0003-3944(01)00709-X