title: Totally laparoscopic left hepatectomy using the Torsional Ultrasonic Scalpel.
abstract: Minimal invasive techniques have allowed for major surgical advances. We report our initial experience of performing total laparoscopic left hepatectomy (segments II-IV) with the Lotus (laparoscopic operation by torsional ultrasound) Ultrasonic Scalpel. The perioperative and postoperative courses of the young female patient were uneventful and she is in a good general condition without complaints 18 mo after surgery. To the best of our knowledge, this is the first total laparoscopic hemihepatectomy to be performed in Greece, as well as the first laparoscopic liver resection using Lotus shears.
authors.affiliation: Georgios C Sotiropoulos, Paraskevas Stamopoulos, Petros Charalampoudis, Athanasios Voutsarakis, Gregory Kouraklis, 2 Department of Propedeutic Surgery, University of Athens Medical School, 11527 Athens, Greece.
authors.forename: Georgios C
authors.initials: GC
authors.lastname: Sotiropoulos
authors.forename: Paraskevas
authors.initials: P
authors.lastname: Stamopoulos
authors.forename: Petros
authors.initials: P
authors.lastname: Charalampoudis
authors.forename: Ernesto P
authors.initials: EP
authors.lastname: Molmenti
authors.forename: Athanasios
authors.initials: A
authors.lastname: Voutsarakis
authors.forename: Gregory
authors.initials: G
authors.lastname: Kouraklis
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000601:surgery*; D000328:Adult; D004867:Equipment Design; D005260:Female; D006498:Hepatectomy / Q000295:instrumentation*; D006801:Humans; D010535:Laparoscopy / Q000295:instrumentation*; D008113:Liver Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D016896:Treatment Outcome; D059708:Ultrasonic Surgical Procedures / Q000295:instrumentation*
keywords: Bloodless surgery; Focal nodular hyperplasia; Hepatectomy; Laparoscopic surgery; Liver adenoma; Liver resection; Minimally invasive surgery; Parenchyma transection; Ultrasonic Scalpel; Ultrasonic dissector