Laparoscopic major hepatectomy: pure laparoscopic approach versus hand-assisted technique.
Laparoscopic liver resections are being performed with increasing frequency, with several groups having reported minimally invasive approaches for major anatomic hepatic resections. Some surgeons favor a pure laparoscopic approach, while others prefer a hand-assisted approach for major laparoscopic liver resections. There are clear advantages and disadvantages to a hand-assisted technique. The purpose of this study is to summarize the literature comparing pure laparoscopic and hand-assisted approaches for minimally invasive hepatic resection, and to describe our approach in 432 laparoscopic liver resections.
University of Pittsburgh Medical Center, Liver Cancer Center, 3459 Fifth Avenue, Pittsburgh, PA 15213, USA.
J S
JS
Cardinal
S K
SK
Reddy
A
A
Tsung
J W
JW
Marsh
D A
DA
Geller
D058733:Hand-Assisted Laparoscopy / Q000379:methods / Q000706:statistics & numerical data; D006498:Hepatectomy / Q000379:methods* / Q000706:statistics & numerical data; D006801:Humans; D010535:Laparoscopy / Q000379:methods* / Q000706:statistics & numerical data; D008107:Liver Diseases / Q000601:surgery*