Impact of hybrid techniques on laparoscopic major hepatectomies.
OBJECTIVE
To assess the types of liver resection, surgical approaches, and surgical outcomes, a questionnaire survey was undertaken at 32 member hospitals of the Japanese Endoscopic Liver Study Group.


RESULTS
Laparoscopic liver resections were performed on 837 patients. Major hepatectomy, including trisectionectomy, hemihepatectomy, and sectionectomy, constituted 106 of the cases. Laparoscopic major hepatectomy (LMH) was performed as totally laparoscopic (n = 8) (7.5 %), hand-assisted (n = 4) (3.8 %), or laparoscopy-assisted (n = 94) (88.7 %). None of the 106 patients were converted to open surgery. Complications occurred in 18 (17.0 %) of the 106 patients. One patient (0.9 %) had bleeding, two (1.9 %) had liver failure, six (5.7 %) had bile leakage, two (1.9 %) had pleural effusion, five (4.7 %) had surgical site infection, one (0.9 %) had pneumonia, and one (0.9 %) had acute respiratory distress syndrome. There were no perioperative deaths or gas embolisms.


CONCLUSIONS
In conclusion, a major hepatectomy using a hybrid technique is safe and feasible.
Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Iwate 020-8505, Japan. hnitta@iwate-med.ac.jp
Hiroyuki
H
Nitta
Akira
A
Sasaki
Yuichiro
Y
Otsuka
Masaru
M
Tsuchiya
Hironori
H
Kaneko
Go
G
Wakabayashi
D005240:Feasibility Studies; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008107:Liver Diseases / Q000601:surgery; D011795:Surveys and Questionnaires