[Laparoscopic hepatectomy by curettage and aspiration: 54 cases reported].
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.
Cai
Xiu-jun
XJ
Department of General Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou 310016, China.
Yu
Hong
H
Liang
Xiao
X
Wang
Yi-fan
YF
Lin
Li-zhong
LZ
Zhang
Yu-hua
YH
Chen
Ju-da
JD
Wang
Xian-fa
XF
Li
Li-bo
LB
Peng
Shu-you
SY
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