ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017
Laparoscopic Liver Resection Using the Lateral Approach from Intercostal Ports in Segments VI, VII, and VIII.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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Who cites it
26 citing papers in PubMed.
- Feasibility and safety of intercostal trocar-assisted laparoscopic liver resection in posterosuperior segments.Annals of hepato-biliary-pancreatic surgery · 2026Article
- Impact of depth of body cavity at the upper-right portion of the abdomen on open and laparoscopic liver resection of segment 7.Langenbeck's archives of surgery · 2025Article
- Mathematical 3D Liver Model for Surgical versus Ablative Therapy Treatment Planning for Colorectal Liver Metastases: Recommendations from the COLLISION and COLDFIRE Trial Expert Panels.Radiology. Imaging cancer · 2024Article
- Single incision laparoscopic surgery for hepatocellular carcinoma.World journal of gastrointestinal surgery · 2024Article
- Robotic Anatomical Liver Resection for Segment 7 Lesions Utilizing Saline-Linked Cautery (SLiC) Method.Cureus · 2024Article
- Subsegmental approaches to S7: anatomic laparoscopic transdiaphragmatic and nonanatomic robotic transthoracic.Surgical endoscopy · 2023Article
- Article
- Suitability of Laparoscopic Liver Resection of Segment VII: a Retrospective Two-Center Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2022Article
- Laparoscopic Minor Liver Resections for Hepatocellular Carcinoma in the Posterosuperior Segments Using the Rubber Band Technique.World journal of surgery · 2022Article
- All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques.Frontiers in oncology · 2022Review
- Feasibility of laparoscopic enucleation for hemangioma in special hepatic segments.Frontiers in surgery · 2022Article
- Does repeat laparoscopic hepatectomy without extracorporeal Pringle manoeuvre worsen treatment outcomes?Przeglad gastroenterologiczny · 2022Article
- Safely Modified Laparoscopic Liver Resection for Segment VI and/or VII Hepatic Lesions Using the Left Lateral Decubitus Position.International journal of general medicine · 2022Article
- Laparoscopic Liver Resection Using a Silicone Band Retraction Method (With Video).Surgical laparoscopy, endoscopy & percutaneous techniques · 2021Article
- Laparoscopic liver resection: indications, limitations, and economic aspects.Langenbeck's archives of surgery · 2020Review
- Laparoscopic Liver Resection of Segments 7 and 8: from the Initial Restrictions to the Current Indications.Journal of minimally invasive surgery · 2020Review
- Laparoscopic liver resection for segment VII lesion using a combination of rubber band retraction method and flexible laparoscope.Surgical endoscopy · 2020Article
- Laparoscopic versus open liver resection for hepatocellular carcinoma in elderly patients: a multi-centre propensity score-based analysis.Surgical endoscopy · 2020Article
- Diabetes mellitus does not influence results of hepatectomy in hepatocellular carcinoma: case control study.Contemporary oncology (Poznan, Poland) · 2020Article
- Efficacy and safety of laparoscopic hepatectomy for hepatocellular carcinoma comorbid with cirrhosis.Przeglad gastroenterologiczny · 2020Article
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10 authors.
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Abstract
backgroundLaparoscopic liver resection (LLR) has been developed as a minimally invasive surgery. However, challenges such as difficulty securing visibility and limited control of forceps make it difficult to complete LLR in hepatic segments VI, VII, and VIII. To overcome these challenges, we devised a surgical technique using intercostal ports. We termed this approach the lateral approach. This work describes our experience performing LLR using this approach and discusses the safety and effectiveness of this approach.
methodsBetween April 2011 and December 2016, data from 91 patients who underwent LLR with or without the intercostal port at a single institution were retrospectively analyzed regarding surgical outcomes, safety, and utility.
resultsLLR was performed for 32 patients with the intercostal port and for 59 patients without the intercostal port. The conversion rates to open surgery with and without intercostal ports were 3.1 and 25.4% (P = 0.008). In hepatic segments VII and VIII, the rates of conversion to open surgery were significantly lower for cases involving intercostal ports (6.7 vs. 42.9 and 0 vs. 38.9%; P = 0.035 and 0026, respectively); however, there were no differences in hepatic segment VI (0 vs. 7.4%; P = 0.563). There were no differences in operative time, blood loss volume, surgical margin, curative resection rate, or postoperative complication rate for LLR in all segments (VI, VII, and VIII). No adverse events due to placement of the intercostal port were observed in this set of patients.
conclusionLLR using the lateral approach and intercostal ports for hepatic segments VII and VIII resulted in a significant decrease in conversion rates to open surgery.
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