Usefulness of cranio-dorsal approach for laparoscopic left lateral sectionectomy

被引:2
作者
Kawasaki, Yota [1 ]
Yamasaki, Yoichi [1 ]
Idichi, Tetsuya [1 ]
Oi, Hideyuki [1 ]
Kurahara, Hiroshi [1 ]
Mataki, Yuko [1 ]
Ueno, Shinichi [1 ]
Ohtsuka, Takao [1 ]
机构
[1] Kagoshima Univ, Grad Sch Med Sci, Dept Digest Surg Breast & Thyroid Surg, Sakuragaoka 8-35-1, Kagoshima 8908520, Japan
关键词
Left lateral sectionectomy; Cranio-dorsal approach; Caudo-peripheral approach; Laparoscopic hepatectomy;
D O I
10.1007/s13304-023-01502-x
中图分类号
R61 [外科手术学];
学科分类号
摘要
Most surgeons perform laparoscopic left lateral sectionectomy (Lap LLS) using the caudo-peripheral approach (C-P approach). However, recently, a cranio-dorsal approach (C-D approach) has been applied to various types of hepatectomy owing to its advantage of preventing split injury. No studies yet have compared the perioperative outcomes of Lap LLS using each approach. Therefore, this study aimed to determine whether the C-D approach is useful for Lap LLS by comparing its perioperative outcomes with the C-P approach. Data of patients who underwent Lap LLS in our institution between 2010 and 2022 for liver tumors were retrospectively collected. We compared the perioperative outcomes of Lap LLS using a conventional C-P approach, which transects hepatic parenchyma in the caudo-peripheral direction and a C-D approach, which transects hepatic parenchyma in the cranio-caudal direction. All surgeries were performed only by board-certified expert surgeons to minimize technical bias. Furthermore, the perioperative procedures employed at our institution remained unchanged throughout the study period. A total of 36 patients were included in the study (C-P approach, n = 25; C-D approach, n = 11). The C-D approach showed a significantly shorter operation time than the C-P approach (median, 225 min vs. 262 min, p = 0.04). In addition, the C-D approach showed significantly lower blood loss than the C-P approach (median, 20 mL vs. 100 mL, p < 0.01). Other parameters, such as morbidity and hospital stay, were comparable between groups. The C-D approach could offer better surgical outcomes than the conventional C-P approach.
引用
收藏
页码:889 / 895
页数:7
相关论文
共 13 条
[1]   A meta-epidemiological study of bias in randomized clinical trials of open and laparoscopic surgery [J].
Amer, M. A. ;
Herbison, G. P. ;
Grainger, S. H. ;
Khoo, C. H. ;
Smith, M. D. ;
McCall, J. L. .
BJS-BRITISH JOURNAL OF SURGERY, 2021, 108 (05) :477-483
[2]   How to dissect the liver parenchyma: Excavation with cavitron ultrasonic surgical aspirator [J].
Honda, Goro ;
Ome, Yusuke ;
Yoshida, Naoki ;
Kawamoto, Yusuke .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2020, 27 (11) :907-912
[3]   Laparoscopic major liver resection in Korea: a multicenter study [J].
Hwang, Dae Wook ;
Han, Ho-Seong ;
Yoon, Yoo-Seok ;
Cho, Jai Young ;
Kwon, Yujin ;
Kim, Ji Hoon ;
Park, Joon Seong ;
Yoon, Dong Sup ;
Choi, In Seok ;
Ahn, Keun Soo ;
Kim, Yong Hoon ;
Kang, Koo Jeong ;
Kim, Young Hoon ;
Roh, Young Hoon ;
Chu, Chong Woo ;
Kim, Hyung Chul ;
Kang, Chang Moo ;
Choi, Gi Hong ;
Choi, Jin Sub ;
Kim, Kyung Sik ;
Lee, Woo Jung ;
Yun, Sung Su ;
Kim, Hong Jin ;
Min, Seog Ki ;
Lee, Hyeon Kook ;
Song, In-Sang ;
Chun, Kwang-Sik ;
Cho, Eung-Ho ;
Han, Sung-Sik ;
Park, Sang-Jae .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2013, 20 (02) :125-130
[4]   Current status of endoscopic surgery in Japan: The 14th National Survey of Endoscopic Surgery by the Japan Society for Endoscopic Surgery [J].
Inomata, Masafumi ;
Shiroshita, Hidefumi ;
Uchida, Hiroki ;
Bandoh, Toshio ;
Akira, Shigeo ;
Yamaguchi, Shigeki ;
Kurokawa, Yukinori ;
Seki, Yosuke ;
Eguchi, Susumu ;
Wada, Norihito ;
Takiguchi, Shuji ;
Ieiri, Satoshi ;
Endo, Shunsuke ;
Iwazaki, Masayuki ;
Sato, Yukio ;
Tamaki, Yasuhiro ;
Kitamura, Kaoru ;
Tabata, Minoru ;
Kanayama, Hiroomi ;
Mimata, Hiromitsu ;
Hasegawa, Toru ;
Takahashi, Hiroshi ;
Onishi, Kiyoshi ;
Uemura, Tetsuji ;
Hashizume, Makoto ;
Matsumoto, Sumio ;
Kitano, Seigo ;
Watanabe, Masahiko .
ASIAN JOURNAL OF ENDOSCOPIC SURGERY, 2020, 13 (01) :7-18
[5]   Stapleless laparoscopic left lateral sectionectomy for hepatocellular carcinoma: reappraisal of the Louisville statement by a young liver surgeon [J].
Lee, Chao-Wei ;
Tsai, Hsin-I ;
Cheng, Hao-Tsai ;
Chen, Wei-Ting ;
Hsu, Heng-Yuan ;
Chiu, Chien-Chih ;
Liu, Yi-Ping ;
Wu, Tsung-Han ;
Yu, Ming-Chin ;
Lee, Wei-Chen ;
Chen, Miin-Fu .
BMC GASTROENTEROLOGY, 2018, 18
[6]   Laparoscopic anatomic segmentectomy 8 using the outer-Laennec approach [J].
Monden, Kazuteru ;
Sadamori, Hiroshi ;
Hioki, Masayoshi ;
Sugioka, Atsushi .
SURGICAL ONCOLOGY-OXFORD, 2020, 35 :299-300
[7]   Minimally invasive anatomic liver resection: Results of a survey of world experts [J].
Morimoto, Mamoru ;
Monden, Kazuteru ;
Wakabayashi, Taiga ;
Gotohda, Naoto ;
Abe, Yuta ;
Honda, Goro ;
Abu Hilal, Mohammed ;
Aoki, Takeshi ;
Asbun, Horacio J. ;
Berardi, Giammauro ;
Chan, Albert C. Y. ;
Chanwat, Rawisak ;
Chen, Kuo-Hsin ;
Chen, Yajin ;
Cherqui, Daniel ;
Cheung, Tan To ;
Ciria, Ruben ;
Fuks, David ;
Geller, David A. ;
Han, Ho-Seong ;
Hasegawa, Kiyoshi ;
Hatano, Etsuro ;
Itano, Osamu ;
Iwashita, Yukio ;
Kaneko, Hironori ;
Kato, Yutaro ;
Kim, Ji Hoon ;
Liu, Rong ;
Lopez-Ben, Santiago ;
Rotellar, Fernando ;
Sakamoto, Yoshihiro ;
Sugioka, Atsushi ;
Yoshizumi, Tomoharu ;
Akahoshi, Keiichi ;
Alconchel, Felipe ;
Ariizumi, Shunichi ;
Benedetti Cacciaguerra, Andrea ;
Duran, Manuel ;
Garcia Vazquez, Alain ;
Golse, Nicolas ;
Miyasaka, Yoshihiro ;
Mori, Yasuhisa ;
Ogiso, Satoshi ;
Shirata, Chikara ;
Tomassini, Federico ;
Urade, Takeshi ;
Nishino, Hitoe ;
Kunzler, Filipe ;
Kozono, Shingo ;
Osakabe, Hiroaki .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2022, 29 (01) :33-40
[8]   Glissonean approach for hepatic inflow control in minimally invasive anatomic liver resection: A systematic review [J].
Morimoto, Mamoru ;
Tomassini, Federico ;
Berardi, Giammauro ;
Mori, Yasuhisa ;
Shirata, Chikara ;
Abu Hilal, Mohammed ;
Asbun, Horacio J. ;
Cherqui, Daniel ;
Gotohda, Naoto ;
Han, Ho-Seong ;
Kato, Yutaro ;
Rotellar, Fernando ;
Sugioka, Atsushi ;
Yamamoto, Masakazu ;
Wakabayashi, Go .
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES, 2022, 29 (01) :51-65
[9]   Laparoscopic Left Hemihepatectomy by the Arantius-First Approach: a Video Case Report [J].
Ome, Yusuke ;
Honda, Goro ;
Kawamoto, Yusuke .
JOURNAL OF GASTROINTESTINAL SURGERY, 2020, 24 (09) :2180-2182
[10]   Cranio-caudal approach to hepatic veins in laparoscopic central bisectionectomy (with Video) [J].
Ueno, Masaki ;
Hayami, Shinya ;
Miyamoto, Atsushi ;
Yamaue, Hiroki .
SURGICAL ONCOLOGY-OXFORD, 2021, 39