title: [Laparoscopic procedures in focal lesions of the liver].
abstract: Seventy-three laparoscopic procedures were performed for the treatment of focal lesions of the liver. Fifty-four patients had operations for non-parasitic cysts of the liver and cystic disease. Polycystic disease of the liver was in 8 patients. Multiple cysts were in 19 patients, solitary - in 27. A total of 139 cysts were treated. Surgery was performed with the standard technique. Atypical marginal resection of the liver was performed in 16 patients for hemangioma (n=8), nodular hyperplasia (n=2), hepatic metastases (n=5), hamartoma (n=1). Atypical marginal resection by type of peritumor resection was conducted in 5 cases, and it was similar to segmentectomy in 11 cases. Laparoscopic cryodestruction of benign tumors and hepatic metastases was performed in 3 patients including in combination with atypical marginal resection in 2 cases. There were no intrasurgical complications which required laparotomies. There were no hemotransfusions. Long-term results were followed-up from 1 to 3 years in 25 patients with hepatic cysts and from 3 months to 3 years in 7 patients after marginal resection for hemangiomas and fibronodular hyperplasia. Ultrasonic examination revealed no recurrences of the disease.
authors.forename: Iu G
authors.initials: IuG
authors.lastname: Starkov
authors.forename: V A
authors.initials: VA
authors.lastname: Vishnevskiĭ
authors.forename: K V
authors.initials: KV
authors.lastname: Shishin
authors.forename: E N
authors.initials: EN
authors.lastname: Solodina
authors.forename: L V
authors.initials: LV
authors.lastname: Domarev
authors.forename: T A
authors.initials: TA
authors.lastname: Kobesova
mesh_terms: D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000601:surgery*