Initial Result and Feasibility of Laparoscopic Hepatectomy

Fumiki Kushihata, title, Hitoshi Inoue, title, Yoshikuni Yonenaga, title, Jota Watanabe, Akifumi Miyoshi, Taiji Toyama, Yasutsugu Takada. Surgery, Ehime University School of Medicine


Purpose:We examined initial results and the effectiveness of the laparoscopic hepatectomy (LH).
Object, Method: 19 Hepatocellular carcinoma (HCC), 6 metastatic liver cancer, others 4 cases. 3 Re-hepatectomy cases are 2 HCC recurrence and one gastric cancer metastasis. As for liver dysfunction cases with high ICG (>30%) , one HCC explosion in 2 cases. 18 pure laparoscopic hepatectomy and 11hybrid hepatectomy cases are enrolled. A procedure of pure laparoscopic hepatectomy is as following; VSS (vessel sealing system) is adapted for surface hepatectomy, and CUSA for deep layer without Pringle maneuver and precagulation. Hybrid hepatectomy: We took cholecystectomy / liver mobilization in laparoscopy and performed hepatectomy by CUSA.
Result: 4 lateral segmentectomy, 3 subsegmentectomy, 22 partial hepatectomy cases.
For average tumor diameter 3.1cm, operation time 262 minutes, bleeding 306ml, postoperative hospitalization 13 days. There is no postoperative complication.
Conclusion 1. Hybrid procedure was suitable  for right sided hepatectomy,  otherwise pure laparoscopic hepatectomy  for left sided hepatectomy. 2. Re-hepatectomy and the high ICG hepatectomy are safely undertaken by LH.

Session Number: Poster – Poster Presentations
Program Number: P382
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