title: Three trocars laparoscopic resection of angiomyolipoma of the liver.
abstract: Angiomyolipoma of the liver (AML) is an infrequent neoplasm composed of three tissues (adipose, muscle and vessels). In spite of advances in radiology, preoperative correct diagnosis is difficult. Clasically, a conservative management strategy was adopted in patients with asymptomatic tumors less than 5 cm with undoubtful diagnosis. But after publishing some few cases of malignant angiomyolipoma a more radical has been advocated. Laparoscopic resection of liver tumors is becoming a excellent approach for operating on benign liver tumors. Usually is performed using five trocars but in some cases a less invasive technique with three trocars could be used. We present a laparoscopic resection of liver angiomyolipoma in a 65 year-old male using only three trocars and also discuss the optimal management of AML and technical tips of three-trocar technique.
authors.affiliation: Hepatopancreatobiliary Unit, Department of Surgery, Guadalajara University Hospital, 19002 Guadalajara, Spain.
authors.forename: J M
authors.initials: JM
authors.lastname: Ramia
authors.forename: R
authors.initials: R
authors.lastname: De la Plaza
authors.forename: J
authors.initials: J
authors.lastname: Quiñones
authors.forename: M D
authors.initials: MD
authors.lastname: Sanchez-Tembleque
authors.forename: A
authors.initials: A
authors.lastname: Caminoa
authors.forename: P
authors.initials: P
authors.lastname: Veguillas
authors.forename: J
authors.initials: J
authors.lastname: García Parreño