title: [Laparoscopic liver resection : A retrospective analysis of 94 clinical cases].
abstract: BACKGROUND
  Since the introduction of minimally invasive surgery its use in liver resections is controversial. The importance of laparoscopic liver surgery within a large collective has been studied insufficiently to date.
  
  
  OBJECTIVE
  In this article we report our experiences with minimally invasive liver resections.
  
  
  METHODS
  A retrospective analysis was conducted looking at all patients in our clinic where a laparoscopic liver resection was performed between 01 January 2000 and 30 April 2013.
  
  
  RESULTS
  In total, we performed 94 laparoscopic liver resections in 90 patients (female n = 44, 46.8 %, male n = 50, 53.2 %) with 28 primary and 63 secondary liver tumors and 3 tumors remaining unclear. Of these 62 were atypical or wedge resections, 19 segmental resections, 8, left lateral and 3 right lateral resections as well as 1 hemihepatectomy left and 1 right. Switching to an open resection intraoperatively was necessary in eight cases. Postoperative complications were observed in two patients, one patient experienced a postoperative cerebral artery stroke and one patient died on postoperative day 13 from sepsis in multiorgan failure. The average operative time was 145 ± 82.34 min (range 10-430 min) and the average hospital stay 7 days. In 79 patients an R0 resection was achieved.
  
  
  CONCLUSIONS
  Laparoscopic liver resection can be considered a safe procedure for the treatment of liver tumors. The accurate selection of patients and appropriate expertise of the attending team in minimally invasive surgery are essential to the outcome.
authors: Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistr. 92, 45136, Essen, Deutschland, matthias.heuer@uk-essen.de.
authors: M
authors: M
authors: Heuer
authors: P F
authors: PF
authors: Alesina
authors: J
authors: J
authors: Hinrichs
authors: S
authors: S
authors: Hofmeister
authors: B
authors: B
authors: Meier
authors: M K
authors: MK
authors: Walz
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000601:surgery*; D015179:Colorectal Neoplasms / Q000601:surgery*; D061887:Conversion to Open Surgery; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008107:Liver Diseases / Q000601:surgery*; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D055815:Young Adult