@article{HBSN6262,
author = {Giovanni Battista Levi Sandri and Lidia Colace and Giovanni Vennarecci and Roberto Santoro and Pasquale Lepiane and Marco Colasanti and Mirco Burocchi and Giuseppe Maria Ettorre},
title = {Laparoscopic first step approach in the two stage hepatectomy},
journal = {Hepatobiliary Surgery and Nutrition},
volume = {4},
number = {5},
year = {2015},
keywords = {},
abstract = {Resection is the gold standard therapeutic option for patients with colorectal liver metastases. However, only 20-30% of patients are resectable. In patients with a concomitant future liver remnant (FLR) less than 25-30%, a single stage resection is not feasible. The aim of this study is to evaluate the feasibility and the rates of morbidity and mortality of the laparoscopic approach in the first-step of two stage hepatectomy. From 2004 to March 2014, 73 patients underwent a two stage hepatectomy: of these, four underwent a totally laparoscopic first step [wedge left liver resection and right portal vein ligation (PVL)]. All the patients were male. Median age was 55 years. One patient underwent an atypical wedge resection of segment II-III and a laparoscopic PVL (LPVL), one patient had a first wedge resection of segment II and LPVL, and two patients underwent a wedge resection of segment III and LPVL. First step surgical mean time was 189 (range, 160-244) min, mean blood loss was 22 (range, 0-50) cc. No transfusion was required in this series. The results of our study demonstrate that the first step of hepatic resection and PVL is feasible with a laparoscopic approach in patients with bilobar liver metastases.},
issn = {2304-389X}, url = {https://hbsn.amegroups.org/article/view/6262}
}