Single-Port Laparoscopic Liver Resection: Largest Turkish Experience

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Karabicak I., Karabulut K., YÜRÜKER S. S., Kesicioglu T., Ozen N.

INDIAN JOURNAL OF SURGERY, cilt.79, sa.2, ss.111-115, 2017 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 79 Sayı: 2
  • Basım Tarihi: 2017
  • Doi Numarası: 10.1007/s12262-015-1435-0
  • Dergi Adı: INDIAN JOURNAL OF SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.111-115
  • Anahtar Kelimeler: Single port, Laparoscopy, Liver, Cancer, Minimal invasive, HEPATOCELLULAR-CARCINOMA, HEPATECTOMY, CIRRHOSIS, SURGERY, DISEASE
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Single-port laparoscopic surgery has the advantage of a hidden scar and reduced abdominal wall trauma. Although single-port laparoscopic surgery is widely performed for other organs, its application is very limited for liver resection. Here, we report our experience with nine patients who underwent single-port laparoscopic liver resection. Nine patients underwent single-port laparoscopic liver resection for the indications of hydatid cyst, hepatocellular carcinoma, and colorectal cancer liver metastasis. Nine patients were successfully treated with single-port laparoscopic surgery. The operative time was between 60 and 240 min. The only operative complication was bleeding up to 650 mL in a patient with cirrhosis. No postoperative complications occurred. All patients were discharged earlier than usual. Single-port laparoscopic liver surgery is a challenging surgery. Surgeon with the experience of laparoscopic liver surgery should perform the single-port laparoscopic liver surgery. It is technically feasible with a good outcome in well-selected patients. Initial cases must be benign lesions to avoid jeopardizing oncological safety.