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Review Article - Laparoscopic liver resections
Cuschieri Alfred
Abstract
Though still practiced in only a few centres worldwide, laparoscopic liver resections, particularly left hepatectomy offer advantages over the conventional open approach in two important respects: reduced operative blood loss and lower major postoperative morbidity. Two approaches are used: the totally laparoscopic and the hand-assisted technique, which in the author′s opinion facilitates both the execution and safety of these procedures, especially major resection of the right liver (right hepatectomy and pluri-segmentectomies). Technologies, which have enabled hepatic resections include: laparoscopic contact ultrasound, linear cutting staplers, ultrasonic dissection, LigaSure and TissueLink. The components operative steps necessary for these resections as practised by the author are described in this review.
Keywords
hepatic tumour; laparoscopy; liver resection
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