Is Single-Incision Laparoscopic Liver Surgery Safe and Efficient for the Treatment of Malignant Hepatic Tumors? A Systematic Review.

Journal of Gastrointestinal Cancer
Nikolaos MachairasGeorgios C Sotiropoulos

Abstract

The objective of this review was to evaluate the safety and efficiency of single-incision laparoscopic liver surgery (SILLS) for malignant liver lesions. A retrospective review of the Medline database was performed, including studies published up to February 2019. Overall, 69 patients (50 males) with a median age of 61 years (range, 31-90) from 16 studies underwent SILLS for malignant liver disease and were included in this review. The majority of patients underwent resection for hepatocellular carcinoma (n = 52, 75 %), followed by metastatic disease (n = 15, 22 %). The hepatic lesions were located in anterolateral liver segments in 62 patients (90 %) and in posterosuperior liver segments in 7 patients (10 %). Sixty-five patients (94 %) underwent minor liver resection. The median blood loss was 200 mL (range 0-2500), while 4 patients that underwent single-port resection were converted to either conventional laparoscopy or open resections. Two cases were reported to be associated with postoperative complications in the single-port group (1 [1.7 %] grade Dindo-Clavien I-II, 1 [1.7 %] grade Dindo-Clavien III-IV), while no complications were noted in the multiport group. All patients successfully underwent R0 resection. SILLS seems...Continue Reading

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Citations

Sep 16, 2020·Journal of Gastrointestinal Cancer·Ahmad AlizadehSoheil Hassanipour
Nov 22, 2020·Updates in Surgery·Nikolaos MachairasGeorgios C Sotiropoulos
Jan 28, 2021·Journal of Clinical Medicine·Christof MittermairHelmut Weiss

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