title: Laparoendoscopic single site liver resection for recurrent hepatocellular carcinoma in cirrhosis: first technical note.
abstract: BACKGROUND
  Single port access laparoscopic redo liver resection for hepatocellular carcinoma on cirrhosis through a single transumbilical skin incision has not been reported in the literature so far.
  
  
  METHODS
  A wedge resection of segment III lesion with a laparoendoscopic single site surgical incision is described in detail analyzing the technical aspects of the procedure.
  
  
  RESULTS
  There were no intraoperative complications with no intraoperative or perioperative blood transfusions. A Pringle maneuver was not used. Operating time was 130 minutes. The patient had an uneventful postoperative course and was discharged on the second postoperative day. The surgical resection margin was not invaded and had a width of 1.8 cm.
  
  
  CONCLUSIONS
  In this case report, we found that liver resection performed by laparoendoscopic single site surgery for peripherally located hepatocellular carcinoma on cirrhosis seems a feasible technique. Such technique is technically demanding and should be undertaken only with proper training and in high volume centers, by surgeons with expertize in both liver and advanced laparoscopic surgery.
authors.affiliation: Department of General and Hepato-Pancreato-Biliary Surgery, S.M. Loreto Nuovo Hospital, Italy. chirurgia.loretonuovo@tin.it
authors.forename: Giulio
authors.initials: G
authors.lastname: Belli
authors.forename: Corrado
authors.initials: C
authors.lastname: Fantini
authors.forename: Alberto
authors.initials: A
authors.lastname: D'Agostino
authors.forename: Luigi
authors.initials: L
authors.lastname: Cioffi
authors.forename: Gianluca
authors.initials: G
authors.lastname: Russo
authors.forename: Andrea
authors.initials: A
authors.lastname: Belli
authors.forename: Paolo
authors.initials: P
authors.lastname: Limongelli
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005500:Follow-Up Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008103:Liver Cirrhosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008113:Liver Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014472:Umbilicus