Objective: To evaluate the feasibility and outcome of laparoscopic hepatectomy in patients with solid liver tumors.
Summary Background Data: Although the laparoscopic approach has become popular in the surgical field, the value of laparoscopy in liver surgery is unknown.
Methods: Fifteen patients with solid liver tumors underwent 16 consecutive laparoscopic resections at the authors’ institution between 1994 and 1999. Indications were symptomatic hemangioma, focal nodular hyperplasia, liver cell adenoma, isolated metastasis from a colon cancer, and hepatocellular carcinoma. The laparoscopic procedure was performed using four to seven ports (four 10-mm, two 5-mm, and one 12-mm).
Results: One patient underwent a major hepatic resection (right lobectomy); the others underwent minor hepatic resections (left lateral segmentectomies, IVb subsegmentectomies, segmentectomy, and nonanatomical excisions). The laparoscopic procedure was uneventful in 15 patients; one patient required conversion to open laparotomy because of inadequate free surgical margins.
Conclusion: Laparoscopic surgery of the liver is feasible. The use of this new technical approach offers many advantages but requires extensive experience in hepatobiliary surgery and laparoscopic skills. The authors’ experience suggests that laparoscopic procedures should be reserved for benign tumors in selected cases. Its application must be verified by further studies.
From the Department of Visceral Surgery and Liver Transplantation, Dupuytren University Hospital, Limoges, France
Correspondence: Fouzi Lachachi, MD, Dept. of Visceral Surgery and Liver Transplantation (c/o B. Descottes), Dupuytren University Hospital, 2 Avenue Martin Luther King, 87042 Limoges cedex, France.
Accepted for publication May 3, 2000.