Laparoscopic resection of liver tumors

Abstract

Laparoscopic liver resection is technically challenging compared to open liver surgery and has a steep learning curve. Tumors located in the posterior sector, centrally, in proximity of major vascular pedicles or in a background of liver cirrhosis are surgically more complex with a higher risk of blood loss. There is emerging consensus about indications for laparoscopic liver resection. While laparoscopic approach is considered standard for left lateral sectionectomy and minor laparoscopic liver resections in antero-lateral segments, with increasing experience, major resections, parenchyma sparing resections and even donor hepatectomies are being performed laparoscopically with good outcomes. Laparoscopic liver surgery is feasible and safe for well selected patients by well-trained surgeons with short-term advantages and non-inferior long-term oncologic outcomes.

Keywords

Laparoscopic liver surgery / liver tumors / hepatocellular cancer

References

[1] Buell JF,Geller DA,Iannitti D.The international position on laparoscopic liver surgery: The Louisville Statement, 2008..Ann Surg2009;250:825-30

[2] Wakabayashi G,Geller DA,Kaneko H.Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka..Ann Surg2015;261:619-29

[3] Hilal MA,Dagher I,Torisi RI.The Southampton consensus Guidelines for laparoscopic liver surgery..Ann surg2018;268:11-8

[4] Boggi U,Vistoli F,Pieroni E.Laparoscopic robot-assisted resection of tumors located in posterosuperior liver segments..Updates Surg2015;67:177-83

[5] Brown KM.What is the Learning Curve for Laparoscopic Major Hepatectomy?.J Gastrointest Surg2016;20:1065-71

[6] Lin CW,Cheng TY,Hung CF.The learning curve of laparoscopic liver resection after the Louisville statement 2008: Will it be more effective and smooth?.Surg Endosc2016;30:2895-903

[7] Fong Y,Conlon KC,Dougherty E.Hand assisted laparoscopic liver resection: Lessons from initial experience..Archives of Surgery2000;135:845-9

[8] Koffron AJ,Auffenberg GB.Laparoscopic liver surgery for everyone: the hybrid method..Surgery2007;142:463-8discussion 468.e1-2

[9] Machado MA,Basseres T,Costa FP.The laparoscopic Glissonian approach is safe and efficient when compared with standard laparoscopic liver resection: Results of an observational study over 7 years..Surgery2016;160:643-51

[10] Kudo H,Tani K,Ichida A.Visualization of subcapsular hepatic malignancy by indocyanine-green fluorescence imaging during laparoscopic hepatectomy..Surg Endosc2014;28:2504-8

[11] Chen HW,Wang FJ,Lai EC.Laparoscopic Right Hepatectomy Via an Anterior Approach for Hepatocellular Carcinoma..JSLS2018;22:e2017.00084 PMCID:PMC6184524

[12] Soubrane O,Cauchy F,Brustia R.A conceptual technique for laparoscopic right hepatectomy based on facts and oncologic principles: the caudal approach..Ann Surg2015;261:1226-31

[13] Torzilli G.Intraoperative ultrasonography in liver cancer..Surg Oncol Clin N Am2003;12:91-103

[14] Otsuka Y,Cleary SP,Cai X.What is the best technique in parenchymal transection in laparoscopic liver resection? Comprehensive review for the clinical question on the 2nd International Consensus Conference on Laparoscopic Liver Resection..Journal of Hepato-Biliary-Pancreatic Sciences.2015;22:363-70

[15] Itano O,Takei H,Kitagawa Y.The superficial precoagulation, sealing, and transection method: a “bloodless” and “ecofriendly” laparoscopic liver transection technique..Surg Laparosc Endosc Percutan Tech2015;25:e33-6 PMCID:PMC4311999

[16] Dokmak S,Ftériche FS,Belghiti J.Pure laparoscopic right hepatectomy with the hanging maneuver for multiple hepatocellular adenomas..Ann Surg Oncol2014;21:3800-1

[17] Cipriani F,Rawashdeh M,Aldrighetti L.Laparoscopic parenchymal-sparing resections for nonperipheral liver lesions, the diamond technique: technical aspects, clinical outcomes, and oncologic efficiency..J Am Coll Surg2015;221:265-72

[18] Kim YK,Yoon YS,Lee W.Total anatomical laparoscopic liver resection of segment 4 (S4), extended S4, and subsegments S4a and S4b for hepatocellular carcinoma..J Laparoendosc Adv Surg Tech A2015;25:375-9

[19] Ikeda T,Harimoto N,Ikegami T.Laparoscopic liver resection in the semiprone position for tumors in the anterosuperior and posterior segments, using a novel dual-handling technique and bipolar irrigation system..Surg Endosc2014;28:2484-92 PMCID:PMC4077249

[20] Lee W,Yoon YS,Choi Y.Role of intercostal trocars on laparoscopic liver resection for tumors in segments 7 and 8..J Hepatobiliary Pancreat Sci2014;21:65-8

[21] Morise Z.Laparoscopic liver resection for posterosuperior tumors using caudal approach and postural changes: a new technical approach..World J Gastroenterol2016;22:10267-74 PMCID:PMC5175240

[22] Salloum C,Lim C,Osseis M.Laparoscopic isolated resection of caudate lobe (Segment 1): a safe and versatile technique..J Am Coll Surg2016;222:e61-6

[23] Dulucq JL,Stabilini C.Isolated laparoscopic resection of the hepatic caudate lobe: surgical technique and a report of 2 cases..2006;16:32-5

[24] Twaij A,Sodergren MH,Darzi A.Laparoscopic vs open approach to resection of hepatocellular carcinoma in patients with known cirrhosis: systematic review and meta-analysis..World J Gastroenterol2014;20:8274-81 PMCID:PMC4081703

[25] Ban D,Ito H,Matsumura S.The difficulty of laparoscopic liver resection..Updates Surg2015;67:123-8

[26] Shelat VG,Basseres T,Takhar AS.Pure laparoscopic liver resection for large malignant tumors: does size matter?.Ann Surg Oncol2015;22:1288-93

[27] Carswell KA,Murgatroyd B,Heaton N.Laparoscopic versus open left lateral segmentectomy..BMC surgery2009;9:14 PMCID:PMC2742511

[28] Simillis C,Tekkis PP,Lovegrove R.Laparoscopic versus open hepatic resections for benign and malignant neoplasms - a meta-analysis..Surgery2007;141:203-11

[29] Zhou YM,Zhao YF,Li B.Meta-analysis of laparoscopic versus open resection for hepatocellular carcinoma..Dig Dis Sci2011;56:1937-43

[30] Rao A,Ahmed I.Laparoscopic or open liver resection? Let systematic review decide it..Am J Surg.2012;204:222-31

[31] Fancellu A,Sanna V,Zorcolo L.Meta-analysis of trials comparing minimally-invasive and open liver resections for hepatocellular carcinoma..J Surg Res2011;171:e33-45

[32] Li N,Wu B.Surgical and oncologic outcomes following laparoscopic versus open liver resection for hepatocellular carcinoma: a meta-analysis..Hepatol Res2012;42:51-9

[33] Xiong JJ,Javed MA,Mukherjee R.Meta-analysis of laparoscopic vs open liver resection for hepatocellular carcinoma..World J Gastroenterol2012;18:6657-68 PMCID:PMC3516221

[34] Yin Z,Ye H,Wang J.Short- and long-term outcomes after laparoscopic and open hepatectomy for hepatocellular carcinoma: a global systematic review and meta-analysis..Ann Surg Oncol2013;20:1203-15

[35] Fretland AA,Bjørnelv GM,Kristiansen R.Laparoscopic versus open resection for colorectal liver metastases..Annals of surgery.2018;267:199-207

[36] Parks KR,Davis JM,Hagopian EJ.Laparoscopic versus open liver resection: a meta-analysis of long-term outcome..HPB (Oxford)2014;16:109-18 PMCID:PMC3921005

[37] Kim H,Lee KW,Hong G.Long-term outcome of laparoscopic versus open liver resection for hepatocellular carcinoma: a case-controlled study with propensity score matching..Surg Endosc2014;28:950-60

[38] Han HS,Ahn S,Cho JY.Laparoscopic versus open liver resection for hepatocellular carcinoma: case-matched study with propensity score matching..J Hepatol2015;63:643-50

[39] Takahara T,Beppu T,Hasegawa K.Long-term and perioperative outcomes of laparoscopic versus open liver resection for hepatocellular carcinoma with propensity score matching: a multi-institutional Japanese study..J Hepatobiliary Pancreat Sci2015;22:721-7

[40] Zhang XL,Zhang D,Wang T.Laparoscopic versus open liver resection for colorectal liver metastases: a systematic review and meta-analysis of studies with propensity score-based analysis..Int J Surg2017;44:191-203

[41] Tranchart H,Ferretti S,Patriti A.Traditional versus robot-assisted full laparoscopic liver resection: a matched-pair comparative study..World J Surg2014;38:2904-9

[42] Ban D,Irie T,Aihara A.Advances in reduced port laparoscopic liver resection..Asian J Endosc Surg.2015;8:11-5

[43] Tan EK,Chang SK,Madhavan K.Laparoendoscopic single-site minor hepatectomy for liver tumors..Surg Endosc2012;26:2086-91

[44] Shetty GS,Choi HJ,Hong TH.Extending the limitations of liver surgery: outcomes of initial human experience in a high-volume center performing single-port laparoscopic liver resection for hepatocellular carcinoma..Surg Endosc2012;26:1602-8

[45] Goh BK,Chan CY,Cheow PC.Review of 103 Cases of Laparoscopic Repeat Liver Resection for Recurrent Hepatocellular Carcinoma..J Laparoendosc Adv Surg Tech A2016;26:876-81

[46] Shelat VG,Samim M,Al Saati H.Outcomes of repeat laparoscopic liver resection compared to the primary resection..World J Surg2014;38:3175-80

[47] Hu M,Xu D.Laparoscopic repeat resection of recurrent hepatocellular carcinoma..World J Surg2011;35:648-55

[48] Schön MR.Laparoscopic liver resection..Chirurg.2017;88:469-75