Awad-Jibara AA, Chirinos-Vargas JR, Baena-Montalvo SJ, Pirela-Finol CA, Brea-Andrade AF, Yajure-Perozo ME

Language: Spanish
References: 22
Page: 223-227
PDF size: 295.99 Kb.

ABSTRACT

Background: We undertook this study to describe the first laparascopic hepatic resection reported in Venezuela, in addition to conducting a literature review. Clinical case: A 40-year-old female was referred to the Surgical Service of the University Hospital of Maracaibo for mild epigastric pain of 1-year evolution, in addition to having a palpable mass in the same region. Complementary studies such as computed abdominal tomography and ultrasound revealed a localized lesion of 5.8 × 4.3 cm in segments II and III of the liver. The patient underwent surgery and a left lateral segmentectomy was performed using laparoscopy in four access points. Surgical time was ~245 min with bleeding of 350 cc. The liver segment was resected through a transverse suprapubic incision. The patient had a satisfactory postoperative evolution without the necessity of the intensive care unit and with a hospital stay of 4 days. Final pathological report demonstrated hepatocellular adenoma. Conclusions: Laparoscopic approach is another alternative in the surgical management of solid liver lesions. Lower mortality and morbidity are reported.

REFERENCES

1. Fabian P, Katkhouda N, Iovine I, Mouiel J. Laparoscopic fenestration of biliary cyst. Surg Laparosc Endosc 1991;1:162-163.

2. Gagner M, Rheault M, Dubue J. Laparoscopic partial hepatectomy for liver tumor. Surg Endosc 1992;6:99.

3. Azagra JS, Gowergen M, Gilbart E, Jacobs D. Laparoscopic anatomical left lateral segmentectomy, technical aspects. Surg Endosc 1996;10:758-761.

4. Lesurtel M, Cherqui D, Laurent A, Tayar C, Fagniez PL. Laparoscopic versus open left lateral lobectomy: a case-control study. J Am Coll Surg 2003;2:236-242.

5. Rau HG, Buttler E, Meyer G, Schardey HM, Shildberg FW. Laparoscopic liver resection compared with conventional partial hepatectomy. A prospective analysis Hepatogastroenterology 1998;45:2333-2348.

6. Cherqui D, Husson E, Hammoud R, Mallassagne B, Stéphan F, Bensaid S, et al. Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 2000;232:753-762.

7. Huscher CGS, Lirici MM, Chiodini S. Laparoscopic liver resection. Semin Laparosc Surg 1998;5:204-210.

8. Cugar E, García I, Bretcha P, Rodríguez A, Marco C. Laparoscopia y cirugía hepática: técnica e indicaciones. Cir Esp 2004;1:23-28.

9. Kaneko H, Takagi S, Shiba T. Laparoscopic partial hepatectomy and left lateral segmentectomy: technique and result of a clinical series. Surgery 1996;120:468-475.

10. Watanabe Y, Sato M, Udea Y, Abe S. Laparoscopic hepatic resection: a new and safe procedure by abdominal wall lifting method. 1997;44:143-147.

11. Yamanaka N, Tanaka T, Tanaka W, Yamanaka J, Yasui C, Ando TM, et al. Laparoscopic partial hepatectomy. Hepatogastroenterol 1998;45:29-33.

12. O’Rourke N, Fielding G. Laparoscopic right hepatectomy: surgical technique. J Gastrointest Surg 2004;8:213-216.

13. Huang M, Lee W, Wang W, Wei P, Chen R. Hand-assisted laparoscopic hepatectomy for solid tumor in the posterior portion of the right lobe: initial experience. Ann Surg 2003;238:674-679.

14. Cunninghan JD, Katz LB, Brower BT, Riner MA. Laparoscopic resection of two liver hemangiomata. Surg Laparosc Endosc 1995;4:277-280.

15. Samara G, Chiche L, Brefort JL, Le Roux Y. Laparoscopic anatomical resection. Report of four left lobectomies for solid tumors. Surg Endosc 1998;12:76-78.

16. Katkhouda N, Hurwitz M, Gugenheim J, Mayor E, Mason RJ, Waldrep DJ, et al. Laparoscopic management of benign solid and cystic lesions of the liver. Ann Surg 1999;229:1-7.

17. Mondragón-Sánchez R, Ruiz-Molina JM, Barrera-Franco JL, Oñate-Ocaña LF, Bernal-Maldonado R. Indicaciones y resultados de la resección hepática en tumores benignos y malignos. Rev Gastroenterol Mex 2000;65:109-115.

18. Mondragón-Sánchez R, Oñate-Ocaña LF, Ruiz-Molina JM, Bernal-Maldonado R, Garduño-López AL, Meneses-García A. Cirugía en tumores hepáticos benignos. Cir Cir 2001;69:123-127.

19. Mondragón-Sánchez R, Mondragón-Sánchez A, Bernal-Maldonado R, González- Geroniz M, Oñate-Ocaña LF, Ruiz-Molina JM. Hepatectomía parcial laparoscópica. Informe del primer caso en México. Rev Gastroenterol Mex 2001;66:50-54.

20. Soto F, Higa G, Brasero O, Mehrad A, Szomstein S, Zundel N, et al. Cirugía laparoscópica del hígado. Asoc Mex Cir Endosc 2003;4:94-99.

21. Buell J, Koffron A, Thomas M, Rudich S, Abecassis M, Woodle ES. Laparoscopic liver resection. J Am Coll Surg 2004;10:472-480.

22. Al Awad A, Valderrama Landaeta JL, Chow Lee G, Zambrano V, Arias Fuenmayor E. Evaluación de las resecciones hepáticas en pacientes con lesiones benignas y malignas. Cir Cir 2004;72:112-115.