| Author/Editor | Sojar, Valentin; Stanisavljevič, Dragoje | |
| Title | Laparoskopska kirurgija jeter | |
| Translated title | Laparoscopic liver surgery | |
| Type | članek | |
| Source | In: Repše S, Stanisavljevič D, editors. Zbornik simpozija Kirurgija jeter in vranice; 2004; Ljubljana. Ljubljana: Kirurška šola, Klinični oddelek za obdominalno kirurgijo, | |
| Publication year | 2004 | |
| Volume | str. 35-47 | |
| Language | slo | |
| Abstract | Laparoscopic surgery is a method of treatment for numerous surgical diseases. In spite that laparoscopic liver surgery remains limited to small series of resections and wedge excisions in specialised liver units. Laparoscopic treatment of liver cysts and excision of benign tumours is a method of treatment. Diagnostic laparoscopy of liver malignant tumours combined with laparoscopic ultrasound is used for defining the resectability of primary and secondary malignant disease of the liver. Thermal ablation of malignant tumours could be used as laparoscopic method. Since January 1997 until now 45 patients were treated laparoscopicaly due to liver disease in our institution. 42 patients had planned procedure, in 3 patients liver pathology was discovered and treated during planned laparoscopic cholecystectomy. Anatomical resection was performed in six patients, 4 left lateral sectionectomies, one segmentectomy 2 and one segmentectomy 5. Eleven total laparoscopic pericystectomies of liver hydatid cysts were performed (3 - 6 cm) 16 patients due to giant disontogenetic cysts were treated and one patient due to policystic liver disease. Six patients had diagnostic laparoscopy. Conversion to open surgery was needed during one procedure due to bleeding. In three cases occlusion of the hepatoduodenal ligament was used to control the bleeding. Four patients had postoperative complications. Postoperative course was uneventful and hospital stay short. There was one disease recurrence in the patient with policystic liver disease. Laparoscopic surgery of the liver is a method of choice in carefully selected cases. For safe procedures appropriate indications should be chosen, technical equipment and close collaboration of the team should be provided. Surgical team should have extensive experience both in liver and laparoscopic surgery. | |
| Descriptors | LIVER SURGERY, LAPAROSCOPIC LIVER NEOPLASMS ECHINOCOCCOSIS, HEPATIC CYSTS TREATMENT OUTCOME |