Endoskopie 2012; 21(1): 8-11

Minimally invasive liver resections

doc.MUDr.Zdeněk Šubrt, Ph.D.^1,2, prof.MUDr.Alexander Ferko, CSc.^1,2, MUDr.Filip Čečka, Ph.D.¹, MUDr.Bohumil Jon, CSc.¹

¹ Chirurgická klinika Fakultní nemocnice Hradec Králové a Lékařské fakulty UK v Hradci Králové

² Katedra válečné chirurgie, Fakulta vojenského zdravotnictví, Univerzita Obrany Brno

Cíl: Zhodnotit časné výsledky laparoskopických resekcí jater ve FN Hradec Králové.

Aim: To evaluate clinical experience with laparoscopic liver resections performed at the Department of Surgery, University Hospital in

Hradec Kralove.

Methods: The group of 47 patients who underwent a miniinvasive liver resection from May 2006 to December 2011 was analysed. The

operation time, hospital and ICU stay length, perioperative blood loss, transfusion units used, and postoperative complications were

prospectively recorded. The reasons for conversion to open surgery were also evaluated.

Results: 33 laparoscopic liver resections were completed. There were 27 anatomical resections including hemihepatectomies and 6

non-anatomical laparoscopicaly completed liver resections. The mean hospital stay was 9.1 days (range 4–18 days). The average ICU stay

was 2.6 days (range 0–8 days). The median duration of surgery was 210 minutes (range 70–425 minutes). The postoperative morbidity

was 30 %, mortality was zero. Blood transfusion was administered in 3 patients (9 %).

Conclusion: The initial experience shows that laparoscopic liver resection is feasible and safety approach. However, it requires experience

with advanced laparoscopic technique as well as open liver surgery.

Keywords: liver, laparoscopic technique, liver resection, complications

Published: December 1, 2012  Show citation