Minimally invasive techniques have been described recently for liver resections. We
have developed a surgical approach to liver resection that combines the benefits of
minimally invasive surgery with the safety of open liver resection. We have applied
this hybrid approach to selected cases, and we feel that it can be adopted by most
hepatobiliary surgeons, even those with minimal or no laparoscopic experience. Briefly,
this technique consists of laparoscopic mobilization of the target liver lobe, followed
by standard open liver resection through the extraction site. The required incisions
parallel those needed for hand-assisted laparoscopic liver resections. We have compared
these hybrid procedures with contemporaneous laparoscopic, hand-assisted, and open
liver resections at our institution and have found that they compare favorably with
minimally invasive procedures. A wider utilization of this approach by both general
and hepatobiliary surgeons will result in a more generalized acceptance of minimally
invasive liver resection that ultimately will advance the field and benefit patients
in need of liver surgery.
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Article info
Publication history
Accepted:
August 18,
2007
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Copyright
© 2007 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
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- ErratumSurgeryVol. 143Issue 2
- PreviewAs a result of a production error, several articles appearing in the Central Surgical Association (Surgery, 2007; Vol. 142, No. 4:433-644) and American Association of Endocrine Surgeons (Surgery, 2007; Vol. 142, No. 6:785-1030) special focus issues were published without their respective discussions. The articles affected have now been updated online to include the missing discussion material. Surgery apologizes to the authors for this significant oversight.
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