Laparoscopic Enucleation of Benign and Low Grade Hepatic Lesions

Nicholas N Nissen, MD, Vichin C Puri, MD, Vijay G Menon, MD

Cedars-Sinai Medical Center

INTRODUCTION: Enucleation is a technique which can be applied to benign and low grade lesions of the liver. Ideal lesions that are amenable to enucleation include select neuroendocrine tumors, simple cysts, hemangiomas and focal nodular hyperplasia. The benefits of enucleation include the preservation of maximal hepatic parenchyma, as well as the low likelihood that underlying vascular or biliary structures will be compromised.

METHODS & RESULTS: The application of laparoscopy to the techniques of enucleation allows the patient to benefit both from the advantages of a minimally invasive approach while maximizing hepatic preservation. In addition, laparoscopy allows simultaneous access to multiple regions of the abdomen, and as such is ideal for managing certain tumor scenarios such as the patient with distal pancreatic NET and synchronous liver metastases. Cases illustrating these techniques and principles are presented.

Session: Video ChannelDay 3

Program Number: V112

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