Advertisement

Hellenic Journal of Surgery

, Volume 90, Issue 5, pp 261–266 | Cite as

Current Concepts in Laparoscopic Liver Surgery

  • N MachairasEmail author
  • Anna Paspala
  • ID Kostakis
  • Anastasia Prodromidou
  • GC Sotiropoulos
Review Article

Abstract

Laparoscopic liver surgery is currently acknowledged to be a safe and effective approach for the treatment of a variety of benign and malignant hepatic lesions. Its wider adoption was delayed by lack of experience, unavailability of suitable laparoscopic equipment, fear of uncontrollable intraoperative adverse events and the perceived oncological inadequacy of the approach. Over the years all these obstacles were overcome, and increasing numbers of studies documented the safety and efficacy of the procedure, with beneficial short-term results and long-term outcome comparable with that of the traditional open approach. This review presents the current knowledge on the indications, advantages, and short- and long-term outcomes of laparoscopic liver resection for a variety of liver lesions.

Key words

Laparoscopic liver resection minimally invasive hepatectomy 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Cherqui D. Evolution of laparoscopic liver resection. Br J Surg 2016;103:1405–7.CrossRefGoogle Scholar
  2. 2.
    Ciria R, Cherqui D, Geller DA, et al. Comparative shortterm benefits of laparoscopic liver resection: 9000 cases and climbing. Ann Surg 2016;263:761–77.CrossRefGoogle Scholar
  3. 3.
    Sotiropoulos GC, Machairas N, Kostakis ID, et al. Early experience in starting a laparoscopic liver resection program in Greece. JSLS 2017;21.Google Scholar
  4. 4.
    Buell JF, Cherqui D, Geller DA, et al. The international position on laparoscopic liver surgery: The Louisville Statement, 2008. Ann Surg 2009;250:825–30.CrossRefGoogle Scholar
  5. 5.
    Cherqui D, Soubrane O. Laparoscopic liver resection: An ongoing revolution. Ann Surg 2017;265:864–5.CrossRefGoogle Scholar
  6. 6.
    Machairas N, Sotiropoulos GC. Diffusion of laparoscopic liver resections: Are we there yet? Laparosc Surg 2018;2:14.CrossRefGoogle Scholar
  7. 7.
    Fretland AA, Dagenborg VJ, Bjornelv GMW, et al. Laparoscopic versus open resection for colorectal liver metastases: The OSLO-COMET randomized controlled trial. Ann Surg 2018;267:199–207.CrossRefGoogle Scholar
  8. 8.
    Mostaedi R, Milosevic Z, Han HS, et al. Laparoscopic liver resection: Current role and limitations. World J Gastrointest Oncol 2012;4:187–92.CrossRefGoogle Scholar
  9. 9.
    Sotiropoulos GC, Machairas N, Stratigopoulou P, et al. Laparoscopic liver resection for malignancy in high-risk surgical patients according to ASA classification. J BUON 2016;21:1398–402.Google Scholar
  10. 10.
    Sotiropoulos GC, Prodromidou A, Kostakis ID, et al. Metaanalysis of laparoscopic vs open liver resection for hepatocellular carcinoma. Updates Surg 2017;69:291–311.CrossRefGoogle Scholar
  11. 11.
    Zhang XL, Liu RF, Zhang D, et al. Laparoscopic versus open liver resection for colorectal liver metastases: A systematic review and meta-analysis of studies with propensity scorebased analysis. Int J Surg 2017;44:191–203.CrossRefGoogle Scholar
  12. 12.
    Machairas N, Papaconstantinou D, Stamopoulos P, et al. The emerging role of laparoscopic liver resection in the treatment of recurrent hepatocellular carcinoma: A systematic review. Anticancer Res 2018;38:3181–6.Google Scholar
  13. 13.
    Nguyen KT, Gamblin TC, Geller DA. World review of laparoscopic liver resection-2,804 patients. Ann Surg 2009;250:831–41.CrossRefGoogle Scholar
  14. 14.
    Berardi G, Van Cleven S, Fretland AA, et al. Evolution of laparoscopic liver surgery from innovation to implementation to mastery: Perioperative and oncologic outcomes of 2,238 patients from 4 european specialized centers. J Am Coll Surg 2017;225:639–49.CrossRefGoogle Scholar
  15. 15.
    Yoon YS, Han HS, Cho JY, et al. Total laparoscopic liver resection for hepatocellular carcinoma located in all segments of the liver. Surg Endosc 2010;24:1630–7.CrossRefGoogle Scholar
  16. 16.
    Machairas N, Prodromidou A, Kostakis ID, et al. Safety and efficacy of laparoscopic liver resection for lesions located on posterosuperior segments: A meta-analysis of short-term outcomes. Surg Laparosc Endosc Percutan Tech 2018;28:203–8.CrossRefGoogle Scholar
  17. 17.
    Teo JY, Kam JH, Chan CY, et al. Laparoscopic liver resection for posterosuperior and anterolateral lesions-a comparison experience in an Asian centre. Hepatobiliary Surg Nutr 2015;4:379–90.Google Scholar
  18. 18.
    Ferrero A, Lo Tesoriere R, Russolillo N, et al. Ultrasound-guided laparoscopic liver resections. Surg Endosc 2015;29:1002–5.CrossRefGoogle Scholar
  19. 19.
    Langella S, Russolillo N, D'Eletto M, et al. Oncological safety of ultrasound-guided laparoscopic liver resection for colorectal metastases: A case-control study. Updates Surg 2015;67:147–55.CrossRefGoogle Scholar
  20. 20.
    Patriti A, Ceccarelli G, Bartoli A, et al. Extracorporeal pringle maneuver in robot-assisted liver surgery. Surg Laparosc Endosc Percutan Tech 2011;21:e242–4.CrossRefGoogle Scholar
  21. 21.
    Cho A, Yamamoto H, Nagata M, et al. Safe and feasible inflow occlusion in laparoscopic liver resection. Surg Endosc 2009;23:906–8.CrossRefGoogle Scholar
  22. 22.
    Lim C, Osseis M, Lahat E, et al. Extracorporeal pringle maneuver during laparoscopic and robotic hepatectomy: Detailed technique and first comparison with intracorporeal maneuver. J Am Coll Surg 2018;226:e19–e25.CrossRefGoogle Scholar
  23. 23.
    Piardi T, Lhuaire M, Memeo R, et al. Laparoscopic Pringle maneuver: How we do it? Hepatobiliary Surg Nutr 2016;5:345–9.CrossRefGoogle Scholar
  24. 24.
    Liu F, Wei Y, Li H, et al. LigaSure versus CUSA for parenchymal transection during laparoscopic hepatectomy in hepatocellular carcinoma patients with cirrhosis: A propensity score-matched analysis. Surg Endosc 2018;32:2454–65.CrossRefGoogle Scholar
  25. 25.
    Scatton O, Brustia R, Belli G, et al. What kind of energy devices should be used for laparoscopic liver resection? Recommendations from a systematic review. J Hepatobiliary Pancreat Sci 2015;22:327–34.CrossRefGoogle Scholar
  26. 26.
    Hashizume M, Takenaka K, Yanaga K, et al. Laparoscopic hepatic resection for hepatocellular carcinoma. Surg Endosc 1995;9:1289–91.CrossRefGoogle Scholar
  27. 27.
    Sotiropoulos GC, Machairas N, Stamopoulos P, et al. Laparoscopic versus open liver resection for hepatocellular carcinoma: Initial experience in Greece. Ann Gastroenterol 2016;29:521–9.Google Scholar
  28. 28.
    Sotiropoulos GC, Prodromidou A, Machairas N. Meta-analysis of laparoscopic vs open liver resection for hepatocellular carcinoma: The European experience. J BUON 2017;22:1160–71.Google Scholar
  29. 29.
    Jelic S, Sotiropoulos GC, Group EGW. Hepatocellular carcinoma: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol 2010;21 Suppl 5:v59–64.CrossRefGoogle Scholar
  30. 30.
    Wei F, Lu C, Cai L, et al. Can laparoscopic liver resection provide a favorable option for patients with large or multiple intrahepatic cholangiocarcinomas? Surg Endosc 2017;31:3646–55.CrossRefGoogle Scholar
  31. 31.
    Levi Sandri GB, Spoletini G, Masciana G, et al. The role of minimally invasive surgery in the treatment of cholangiocarcinoma. Eur J Surg Oncol 2017;43:1617–21.CrossRefGoogle Scholar
  32. 32.
    Lee W, Park JH, Kim JY, et al. Comparison of perioperative and oncologic outcomes between open and laparoscopic liver resection for intrahepatic cholangiocarcinoma. Surg Endosc 2016;30:4835–40.CrossRefGoogle Scholar
  33. 33.
    Uy BJ, Han HS, Yoon YS, et al. Laparoscopic liver resection for intrahepatic cholangiocarcinoma. J Laparoendosc Adv Surg Tech A 2015;25:272–7.CrossRefGoogle Scholar
  34. 34.
    Gumbs AA, Jarufe N, Gayet B. Minimally invasive approaches to extrapancreatic cholangiocarcinoma. Surg Endosc 2013;27:406–14.CrossRefGoogle Scholar
  35. 35.
    Aghayan DL, Kazaryan AM, Fretland AA, et al. Laparoscopic liver resection for metastatic melanoma. Surg Endosc 2018;32:1470–7.CrossRefGoogle Scholar
  36. 36.
    Cipriani F, Rawashdeh M, Ahmed M, et al. Oncological outcomes of laparoscopic surgery of liver metastases: A single-centre experience. Updates Surg 2015;67:185–91.CrossRefGoogle Scholar
  37. 37.
    Cherqui D, Soubrane O, Husson E, et al. Laparoscopic living donor hepatectomy for liver transplantation in children. Lancet 2002;359:392–6.CrossRefGoogle Scholar
  38. 38.
    Soubrane O, Cherqui D, Scatton O, et al. Laparoscopic left lateral sectionectomy in living donors: Safety and reproducibility of the technique in a single center. Ann Surg 2006;244:815–20.CrossRefGoogle Scholar
  39. 39.
    Troisi R, Debruyne R, Rogiers X. Laparoscopic living donor hepatectomy for pediatric liver transplantation. Acta Chir Belg 2009;109:559–62.CrossRefGoogle Scholar
  40. 40.
    Kim KH, Jung DH, Park KM, et al. Comparison of open and laparoscopic live donor left lateral sectionectomy. Br J Surg 2011;98:1302–8.CrossRefGoogle Scholar
  41. 41.
    Nagai S, Brown L, Yoshida A, et al. Mini-incision right hepatic lobectomy with or without laparoscopic assistance for living donor hepatectomy. Liver Transpl 2012;18:1188–97.CrossRefGoogle Scholar
  42. 42.
    Soubrane O, Perdigao Cotta F, Scatton O. Pure laparoscopic right hepatectomy in a living donor. Am J Transplant 2013;13:2467–71.CrossRefGoogle Scholar
  43. 43.
    Cipriani F, Fantini C, Ratti F, et al. Laparoscopic liver resections for hepatocellular carcinoma. Can we extend the surgical indication in cirrhotic patients? Surg Endosc 2018;32:617–26.Google Scholar
  44. 44.
    Cannon RM, Saggi B, Buell JF. Evaluation of a laparoscopic liver resection in the setting of cirrhosis. HPB (Oxford) 2014;16:164–9.CrossRefGoogle Scholar
  45. 45.
    Kaneko H, Otsuka Y, Tsuchiya M, et al. Application of devices for safe laparoscopic hepatectomy. HPB (Oxford) 2008;10:219–24.CrossRefGoogle Scholar
  46. 46.
    Goh EL, Chidambaram S, Ma S. Laparoscopic vs open hepatectomy for hepatocellular carcinoma in patients with cirrhosis: A meta-analysis of the long-term survival outcomes. Int J Surg 2018;50:35–42.CrossRefGoogle Scholar
  47. 47.
    Kleemann M, Hildebrand P, Birth M, et al. Laparoscopic ultrasound navigation in liver surgery: Technical aspects and accuracy. Surg Endosc 2006;20:726–9.CrossRefGoogle Scholar
  48. 48.
    Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. World Health Organ Tech Rep Ser 2000;894:i–xii, 1–253.Google Scholar
  49. 49.
    Pi-Sunyer FX. Medical hazards of obesity. Ann Intern Med 1993;119:655–60.CrossRefGoogle Scholar
  50. 50.
    Vigano L, Kluger MD, Laurent A, et al. Liver resection in obese patients: Results of a case-control study. HPB (Oxford) 2011;13:103–11.CrossRefGoogle Scholar
  51. 51.
    Machairas N, Sotiropoulos GC. The impact of obesity on laparoscopic liver surgery: A critical reappraisal. Laparosc Surg 2018;2:27.CrossRefGoogle Scholar
  52. 52.
    Nomi T, Fuks D, Ferraz JM, et al. Influence of body mass index on postoperative outcomes after laparoscopic liver resection. Surg Endosc 2015;29:3647–54.CrossRefGoogle Scholar
  53. 53.
    Machairas N, Kostakis ID, Mantas D, et al. Laparoscopic hepatectomy in a morbidly obese patient with liver cirrhosis: A case report. Mol Clin Oncol 2017;6:233–4.CrossRefGoogle Scholar
  54. 54.
    Ome Y, Hashida K, Yokota M, et al. The safety and efficacy of laparoscopic hepatectomy in obese patients. Asian J Surg 2017.Google Scholar
  55. 55.
    Toriguchi K, Hatano E, Sakurai T, et al. Laparoscopic liver resection in obese patients. World J Surg 2015;39:1210–5.CrossRefGoogle Scholar
  56. 56.
    Uchida H, Iwashita Y, Saga K, et al. Benefit of laparoscopic liver resection in high body mass index patients. World J Gastroenterol 2016;22:3015–22.CrossRefGoogle Scholar
  57. 57.
    Kanazawa M, Yoshiike N, Osaka T, et al. Criteria and classification of obesity in Japan and Asia-Oceania. World Rev Nutr Diet 2005;94:1–12.Google Scholar
  58. 58.
    Korc-Grodzicki B, Downey RJ, Shahrokni A, et al. Surgical considerations in older adults with cancer. J Clin Oncol 2014;32:2647–53.CrossRefGoogle Scholar
  59. 59.
    Sgourakis G, Sotiropoulos GC, Bockhorn M, et al. Major liver resections for primary liver malignancies in the elderly. Acta Chir Belg 2009;109:340–4.CrossRefGoogle Scholar
  60. 60.
    Sotiropoulos GC, Kostakis ID, Machairas N, et al. Safety and efficacy of liver resections in elderly patients. J BUON 2017;22:1180–5.Google Scholar
  61. 61.
    Matias M, Casa-Nova M, Faria M, et al. Prognostic factors after liver resection for colorectal liver metastasis. Acta Med Port 2015;28:357–69.CrossRefGoogle Scholar
  62. 62.
    Sotiropoulos GC, Machairas N, Kostakis ID. Case Report: Laparoscopic hepatectomy in an elderly patient with major comorbidities. F1000Res 2017;6:1286.CrossRefGoogle Scholar
  63. 63.
    Chen K, Pan Y, Maher H, et al. Laparoscopic hepatectomy for elderly patients: Major findings based on a systematic review and meta-analysis. Medicine (Baltimore) 2018;97:e11703.CrossRefGoogle Scholar
  64. 64.
    Goh BKP, Chua D, Syn N, et al. Perioperative outcomes of laparoscopic minor hepatectomy for hepatocellular carcinoma in the elderly. World J Surg 2018. Doi: 10.1007/s00268-018-4741-4.Google Scholar
  65. 65.
    Yue M, Li S, Yan G, et al. Short-and long-term outcomes of laparoscopic hepatectomy for colorectal liver metastases in elderly patients. Cancer Manag Res 2018;10:2581–7.CrossRefGoogle Scholar
  66. 66.
    Fuks D, Gayet B. Laparoscopic surgery of postero-lateral segments: a comparison between transthoracic and abdominal approach. Updates Surg. 2015;67:141–5.CrossRefGoogle Scholar
  67. 67.
    Abu Hilal M, Aldrighetti L, Dagher I, et al. The southampton consensus guidelines for laparoscopic liver surgery: From indication to implementation. Ann Surg 2018;268:11–8.CrossRefGoogle Scholar
  68. 68.
    Zheng B, Zhao R, Li X, et al. Comparison of laparoscopic liver resection for lesions located in anterolateral and posterosuperior segments: A meta-analysis. Surg Endosc 2017;31:4641–8.CrossRefGoogle Scholar
  69. 69.
    D'Hondt M, Tamby E, Boscart I, et al. Laparoscopic versus open parenchymal preserving liver resections in the posterosuperior segments: A case-matched study. Surg Endosc 2018;32:1478–85.CrossRefGoogle Scholar
  70. 70.
    Okuno M, Goumard C, Mizuno T, et al. Operative and short-term oncologic outcomes of laparoscopic versus open liver resection for colorectal liver metastases located in the posterosuperior liver: A propensity score matching analysis. Surg Endosc 2018;32:1776–86.CrossRefGoogle Scholar
  71. 71.
    Ikeda T, Toshima T, Harimoto N, et al. Laparoscopic liver resection in the semiprone position for tumors in the anterosuperior and posterior segments, using a novel dualhandling technique and bipolar irrigation system. Surg Endosc 2014;28:2484–92.CrossRefGoogle Scholar
  72. 72.
    Vavra P, Karnik L, Skrobankova M, et al. Adjustable laparoscopic surgical device-LARA-K1: A New approach to the posterior segments Liver Resection-Experimental ex vivo study. Surg Innov 2016;23:644–5.CrossRefGoogle Scholar
  73. 73.
    Scuderi V, Barkhatov L, Montalti R, et al. Outcome after laparoscopic and open resections of posterosuperior segments of the liver. Br J Surg 2017;104:751–9.CrossRefGoogle Scholar

Copyright information

© Hellenic Surgical Society and Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • N Machairas
    • 1
    Email author
  • Anna Paspala
    • 1
  • ID Kostakis
    • 2
  • Anastasia Prodromidou
    • 3
  • GC Sotiropoulos
    • 2
  1. 1.Department of SurgeryAthensGreece
  2. 2.Department of Propaedeutic Surgery National and KapodistrianUniversity of Athens, School of MedicineAthensGreece
  3. 3.Department of Surgery“Metaxa” Memorial Cancer HospitalPiraeusGreece

Personalised recommendations