Single-port laparoscopic liver surgeries

Soo ho Lee, Eun Young Kim, Sung Kyun Park, Jae Hyun Han, Gun Hyung Na, Ho Joong Choi, Tae Ho Hong, Young Chul Yoon, Dong Goo Kim, Young Kyoung You. The Catholic University of Korea, Seoul St. Mary’s Hospital.

Introduction

 Single-port laparoscopic liver surgery has been performed sporadically. The aim of this study is to assess our experience of single-port laparoscopic liver surgery as one of the treatment modality for various kinds of hepatic diseases.

 Methods and Procedures

 We retorspectively review the medical records of 213 patients who performed single-port laparocopic liver surgeries between Dec 2008 and Aug 2013 at the Catholic University Seoul St. mary’s hospital.

Results

 213 patients underwent single-port laparoscopic liver surgeries for variety of hepatic lesions. Of these, 107 were single-port laparoscopy  assisted right hepatectomy in living-donor liver transplantation. In the other 106 patients, various kinds of single-port laparoscopic liver resection were performed for hepatocellular carcinoma (n=50), metastatic liver tumor (n=23), intrahepatic duct stone disease (n=9), cholangiocarcinoma (n=6) and others. For these patients, partial liver resections were carried out in 76 cases, 14 were left hepatectomy, 11 were left lateral sectionectomy and 5 were right hepatectomy. Four procedures were converted multiport laparoscopy and seventeen were converted to open liver resection. There was no major perioperative complication in this study.

Conclusion

 Single-port laparoscopic liver surgery seems to be a feasible approach for various kinds of liver diseases.