title: Laparoscopic liver resection for benign disease.
abstract: OBJECTIVE
  Resection for benign liver disease can represent a valid indication for the laparoscopic approach.
  
  
  METHODS
  Prospective case series.
  
  
  METHODS
  Tertiary referral center.
  
  
  METHODS
  Fifty patients with benign disease underwent laparoscopic liver resection. Indications for resection included preoperative diagnosis of adenoma or cystadenoma, uncertain preoperative diagnosis, and presence of symptoms. Inclusion criteria were lesions 5 cm or less located in the peripheral segments (segments 2-6).
  
  
  METHODS
  Laparoscopic liver resection using a surgical technique including 5 ports, harmonic transection, stapling of large vessels, and extraction in a bag through a separate incision.
  
  
  METHODS
  Intraoperative results and postoperative morbidity.
  
  
  RESULTS
  Thirty-five patients (70%) presented with solid tumor; 11 (22%), with cystic lesions; and 4 (8%), with biliary disease. Tumor was solitary in 41 cases (82%) and multiple in 9 (18%). Mean (SD) surgical time was 191 (77.5) minutes (range, 30-480 minutes). There were 4 conversions (8%) and 1 patient received a transfusion (2%). There was no mortality. The postoperative morbidity rate was 10% and included only nonspecific complications. Median hospital stay was 5 days.
  
  
  CONCLUSIONS
  Laparoscopic liver resection for benign disease can be recommended in patients with peripheral lesions requiring limited resection. Major resections may be performed in highly select patients but require further evaluation. Specific training is required. Indications for laparoscopic resection of benign liver disease must be the same as those for open surgery. Reduction of abdominal wall damage and cosmetic advantages of the laparoscopic approach represent a clear benefit in patients with benign liver disease.
authors: Department of Digestive Surgery, Henri Mondor Hospital, 51 avenue du Mal de Lattre de Tassigny, 94010 Créteil CEDEX, France.
authors: Francesco
authors: F
authors: Ardito
authors: Claude
authors: C
authors: Tayar
authors: Alexis
authors: A
authors: Laurent
authors: Mehdi
authors: M
authors: Karoui
authors: Jerome
authors: J
authors: Loriau
authors: Daniel
authors: D
authors: Cherqui
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006498:Hepatectomy; D006801:Humans; D010535:Laparoscopy; D008107:Liver Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies