Current status of laparoscopic liver resection in Korea.
Since laparoscopic liver resection was first introduced in 2001, Korean surgeons have chosen a laparoscopic procedure as one of the treatment options for benign or malignant liver disease. We distributed and analyzed a nationwide questionnaire to members of the Korean Laparoscopic Liver Surgery Study Group (KLLSG) in order to evaluate the current status of laparoscopic liver resection in Korea. Questionnaires were sent to 24 centers of KLLSG. The questionnaire consisted of operative procedure, histological diagnosis of liver lesions, indications for resection, causes of conversion to open surgery, and postoperative outcomes. A laparoscopic liver resection was performed in 416 patients from 2001 to 2008. Of 416 patients, 59.6% had malignant tumors, and 40.4% had benign diseases. A total laparoscopic approach was performed in 88.7%. Anatomical laparoscopic liver resection was more commonly performed than non-anatomical resection (59.9% vs 40.1%). The anatomical laparoscopic liver resection procedures consisted of a left lateral sectionectomy (29.3%), left hemihepatectomy (19.2%), right hemihepatectomy (6%), right posterior sectionectomy (4.3%), central bisectionectomy (0.5%), and caudate lobectomy (0.5%). Laparoscopy-related serious complications occurred in 12 (2.8%) patients. The present study findings provide data in terms of indication, type and method of liver resection, and current status of laparoscopic liver resection in Korea.
Department of Surgery, Yonsei University College of Medicine, Gangnam Severance Hospital, Seoul, Korea.
Joon Seong
JS
Park
Ho-Seong
HS
Han
Dae Wook
DW
Hwang
Yoo-Seok
YS
Yoon
Jai Young
JY
Cho
Yang-Seok
YS
Koh
Choon Hyuck David
CH
Kwon
Kyung Sik
KS
Kim
Sang Bum
SB
Kim
Young Hoon
YH
Kim
Hyung Chul
HC
Kim
Chong Woo
CW
Chu
Dong Shik
DS
Lee
Hong-Jin
HJ
Kim
Sang Jae
SJ
Park
Sung-Sik
SS
Han
Tae Jin
TJ
Song
Young Joon
YJ
Ahn
Yung Kyung
YK
Yoo
Hee Chul
HC
Yu
Dong Sup
DS
Yoon
Min-Koo
MK
Lee
Hyeon Kook
HK
Lee
Seog Ki
SK
Min
Chi-Young
CY
Jeong
Soon-Chan
SC
Hong
In Seok
IS
Choi
Kyung Yul
KY
Hur
D006498:Hepatectomy / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy / Q000706:statistics & numerical data; D008099:Liver / Q000601:surgery*; D008107:Liver Diseases / Q000473:pathology / Q000601:surgery; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology; D056910:Republic of Korea; D011795:Surveys and Questionnaires