Two-stage laparoscopic liver resection for bilateral colorectal liver metastasis.

Surgical Endoscopy
M A MachadoN Yamaguchi

Abstract

Hepatectomy may prolong the survival of colorectal cancer patients with liver metastases. Two-stage liver surgery is a valid option for the treatment of bilobar colorectal liver metastasis. This video demonstrates technical aspects of a two-stage pure laparoscopic hepatectomy for bilateral liver metastasis. To the authors' knowledge, this is the first description of a two-stage laparoscopic liver resection in the English literature. A 54-year-old man with right colon cancer and synchronous bilobar colorectal liver metastasis underwent laparoscopic right colon resection followed by oxaliplatin-based chemotherapy. The patient then was referred for surgical treatment of liver metastasis. Liver volumetry showed a small left liver remnant. Surgical planning was for a totally laparoscopic two-stage liver resection. The first stage involved laparoscopic resection of segment 3 and ligature of the right portal vein. The postoperative pathology showed high-grade liver steatosis. After 4 weeks, the left liver had regenerated, and volumetry of left liver was 43%. The second stage involved laparoscopic right hepatectomy using the intrahepatic Glissonian approach. Intrahepatic access to the main right Glissonian pedicle was achieved with two...Continue Reading

References

Aug 13, 2003·Archives of Surgery·Marcel Autran C MachadoMarcel C C Machado
Jun 16, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Marcel Autran C MachadoMarcel C C Machado
Aug 25, 2007·Annals of Surgery·Alan J KoffronMichael Abecassis
Jul 11, 2008·American Journal of Surgery·Marcel Autran C MachadoMarcel C C Machado
Feb 14, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Georgios D AyiomamitisBasil J Ammori
Mar 10, 2009·American Journal of Surgery·Ibrahim DagherDominique Franco

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Citations

Jul 25, 2012·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Francesco Di FabioMohammed Abu Hilal
Jul 31, 2012·Annals of Surgery·Marcel Autran C MachadoRodrigo C Surjan
Mar 8, 2013·Annals of Surgical Oncology·Marcel Autran MachadoRodrigo C Surjan
Mar 12, 2013·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Reza KianmaneshDaniele Sommacale
Sep 24, 2015·The British Journal of Surgery·D FuksB Gayet
Jul 6, 2014·ANZ Journal of Surgery·Daniel James KilburnNicholas O'Rourke
Oct 8, 2013·Cirugía española·José Manuel RamiaJorge García-Parreño
Nov 7, 2016·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Marcel A C MachadoErik Schadde
Jul 16, 2015·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Rodrigo Cañada Trofo SurjanMarcel Autran Cesar Machado
Apr 11, 2020·Surgical Endoscopy·Kawka MichalJiao R Long
Jan 26, 2013·Revista do Colégio Brasileiro de Cirurgiões·Marcel Autran Cesar MachadoRodrigo Cañada Trofo Surjan
May 25, 2013·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Orlando Jorge Martins TorresMarcel Autran Cesar Machado

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