title: Laparoscopic transthoracic liver resection.
abstract: BACKGROUND
  Minimally invasive laparoscopic liver surgery is being performed with increased frequency. Lesions located on the anterior and lateral liver segments are easier to approach through laparoscopy. On the other hand, laparoscopic access to posterior and superior segments is less frequent and technically demanding.
  
  
  OBJECTIVE
  Technical description for laparoscopic transthoracic access employed on hepatic wedge resection.
  
  
  METHODS
  Laparoscopic transthoracic hepatic wedge resection on segment 8.
  
  
  CONCLUSIONS
  Transthoracic approach allows access to the posterior and superior segments of the liver, and should be considered for oddly located tumors and in patients with numerous previous abdominal interventions.
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Jaime Arthur Pirola
authors: JA
authors: Krüger
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Fabrício Ferreira
authors: FF
authors: Coelho
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Marcos Vinícius
authors: MV
authors: Perini
authors: Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil.
authors: Paulo
authors: P
authors: Herman
mesh_terms: D000368:Aged; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D013909:Thorax
references: Surg Endosc. 2008 Nov;22(11):2344-9
references: 18528623
references: J Hepatobiliary Pancreat Surg. 2009;16(4):403-4
references: 19458894
references: Ann Surg. 2009 Nov;250(5):825-30
references: 19916210
references: Ann Surg. 2012 Dec;256(6):959-64
references: 22968066
references: J Hepatobiliary Pancreat Sci. 2013 Feb;20(2):114-9
references: 23053353
references: J Gastrointest Surg. 2008 Jul;12(7):1154
references: 18193325
references: Surg Endosc. 2014 Jan;28(1):314
references: 23982646
references: Surg Endosc. 2014 Jan;28(1):203-11
references: 23982655
references: Hepatogastroenterology. 2002 Jan-Feb;49(43):32-5
references: 11941979
references: World J Surg. 2005 Dec;29(12):1680-6
references: 16311867
references: J Surg Oncol. 2007 Aug 1;96(2):178-82
references: 17372921
references: J Hepatobiliary Pancreat Sci. 2013 Feb;20(2):111-3
references: 23064987