title: [Laparoscopic hepatectomy by curettage and aspiration: 54 cases reported].
abstract: OBJECTIVE
  Introduce the experience on 54 cases of laparoscopic hepatectomy-liver transection by curettage and aspiration (LTCA).
  
  
  METHODS
  We used Peng multifunctional operative dissector (PMOD) to perform laparoscopic liver transection by curettage and aspiration.
  
  
  RESULTS
  52 patients underwent laparoscopic hepatectomy successfully. 2 patients were converted to an open hepatectomy for raw surface hemorrhage or severe abdominal cavity adherence. Mean operative time was 146.5 minutes, the mean bleeding volume was 460 mL, the largest excised liver size was 20 cm x 7 cm x 4 cm. Bile leakage and pneumothorax occurred in 2 patients. Patients could walk one day after operation and were discharged one week postoperatively.
  
  
  CONCLUSIONS
  Laparoscopic hepatectomy by curettage and aspiration is a safe and effective technique. PMOD is an optimal tool to perform laparoscopic hepatectomy.
authors.affiliation: Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, China.
authors.forename: Xiu-jun
authors.initials: XJ
authors.lastname: Cai
authors.forename: Hong
authors.initials: H
authors.lastname: Yu
authors.forename: Xiao
authors.initials: X
authors.lastname: Liang
authors.forename: Yi-fan
authors.initials: YF
authors.lastname: Wang
authors.forename: Li-zhong
authors.initials: LZ
authors.lastname: Lin
authors.forename: Yu-hua
authors.initials: YH
authors.lastname: Zhang
authors.forename: Ju-da
authors.initials: JD
authors.lastname: Chen
authors.forename: Xian-fa
authors.initials: XF
authors.lastname: Wang
authors.forename: Li-bo
authors.initials: LB
authors.lastname: Li
authors.forename: Shu-you
authors.initials: SY
authors.lastname: Peng
mesh_terms: D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery; D003475:Curettage; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged