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Langenbeck's Archives of Surgery

Erschienen in:

01.10.2013 | Review Article

Laparoscopic surgery of liver tumors

verfasst von: Johanna Kirchberg, Christoph Reißfelder, Jürgen Weitz, Moritz Koch

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 7/2013

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Abstract

Introduction

Despite initial concerns regarding safety and oncological adequacy, the use of laparoscopic liver resections for benign and malignant diseases has spread worldwide. As in open liver surgery, anatomical orientation and the ability to control intraoperative challenges as bleeding have to be combined with expertise in advanced laparoscopic techniques.

Methods

In this review, we provide an overview regarding the literature on laparoscopic liver resection for benign and malignant liver tumors with the aim to discuss the current standards and define remaining challenges. Although numerous case series and meta-analyses have addressed the evolving field of laparoscopic liver surgery recently, data from randomized controlled trials are still not available.

Results and conclusions

Laparoscopic liver resection is feasible and safe in selected patients and experienced hands. Even major liver resections can be performed laparoscopically. The minimal invasive approach offers benefits in perioperative short-term outcome without compromising oncological outcomes compared to open liver resections. Further randomized trials are needed to formally prove these statements and to define the optimal indication and techniques for the individual patient.

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Titel: Laparoscopic surgery of liver tumors
verfasst von: Johanna Kirchberg
Christoph Reißfelder
Jürgen Weitz
Moritz Koch
Publikationsdatum: 01.10.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Langenbeck's Archives of Surgery / Ausgabe 7/2013
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-013-1117-y

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Abstract

Introduction

Methods

Results and conclusions

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