medigraphic.com
ISSN 1665-2576 (Print)

2005, Number 1

<< Back Next >>

Rev Mex Cir Endoscop 2005; 6 (1)

Usefulness of the laparoscopic approach in the management of primary and secondary liver tumors

Mondragón-Sánchez R, Gómez-Gómez E, Mondragón-Sánchez A

Language: Spanish
References: 40
Page: 39-45
PDF size: 66.99 Kb.


ABSTRACT

Introduction: Laparoscopic surgery has been widely used for digestive tract diseases, especially for gallbladder pathology. Laparoscopic liver surgery pretends to accomplish the same objectives of open surgery but with the advantages of minimally invasive surgery.
Aims: To evaluate the indications and recent results of laparoscopic liver surgery in liver tumors, as well as the technique.
Material and methods: A review of the world literature was performed on the role of laparoscopic surgery for hepatic diseases. The results of the authors are also reported.
Results: Nowadays hepatic laparoscopic surgery is recommended for anterior located non-parasitic liver cysts and type I polycystic liver disease. The treatment of choice is wide deroofing. For hydatic liver disease pericystectomy or wide deroofing plus omentoplasty are also described. For benign solid liver disease, hepatic resection can be performed with the same outcome that the one observed with open surgery when the lesions are symptomatic, small, anteriorly or peripherally located. Laparoscopic liver surgery is recommended for the treatment of malignant hepatic lesions only in very specific cases. Nonetheless there are no prospective randomized studies that show benefits of laparoscopic over open surgery. Several local ablative therapies like radiofrequency, ethanol injection, cryotherapy or lasser can be also performed through the laparoscope. The results reported so far have been encouraging. Intra-arterial chemotherapy is an option for the treatment of liver malignancies via laparoscopy, considering that the arterial catheter can be placed under this approach.
Conclusions: Laparoscopic liver surgery should be performed by an experienced surgeon with the adequate technology. To our knowledge there are no reported results that decisively point toward the benefits of laparoscopic surgery over open surgery for the management of liver disease. Nonetheless more experience in laparoscopic liver surgery is needed.


REFERENCES

  1. Dubois F, Berthelot G, Levard H. Cholecystectomy par Coelioscopie. Presse Med 1989; 18: 980-982.

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

  3. Scott-Conner CEH. Laparoscopic gastrointestinal surgery. Med Clin North Am 2002; 86: 1401-1422.

  4. Lin TY, Chen CC, Wang SM. Treatment of non-parasitic cystic disease of the liver: A new approach to therapy with polycystic liver. Ann Surg 1968; 168: 921.

  5. Morino M, De Giuli M, Festa V et al. Laparoscopic management of symptomatic nonparasitic cysts of the liver: Indications and results. Ann Surg 1994; 219: 157.

  6. Katkhouda N, Mavor E. Laparoscopic management of benign liver disease. Surg Clin of North Am 2000; 80; 1203-1211.

  7. Rau HG, Buttler E, Meyer G, Schardey HM, Schildberg FW. Laparoscopic liver resection compared with conventional partial hepatectomy-a-prospective analysis. Hepatogastroenterology 1998; 45: 2333-38.

  8. Gugenheim J, Mazza D, Katkhouda N et al. Laparoscopic resection of solid liver tumours. Br J Surg 1996; 83: 334-335.

  9. Kaneko H, Takagi S, Shiba T. Laparoscopic partial hepatectomy and left lateral segmentectomy: Technique and results of a clinical series. Surgery 1996; 120: 468-476.

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

  11. Mondragón-Sánchez R, Mondragón-Sánchez A, Bernal-Maldonado R, González-Geroniz M, Oñate-Ocaña LF, Ruiz-Molina JM, Meneses-García A. Hepatectomía parcial por laparoscopia. Informe del primer caso en México. Rev Gastroenterol Méx 2001; 66: 50-54.

  12. Buell JF, Koffron AJ, Thomas MJ, Rudich S et al. Laparoscopic liver resection. J Am Coll Surg 2005; 200: 472-480.

  13. Katkhouda N, Hurwitz M, Gugenheim J et al. Laparoscopic management of benign solid and cystic lesions of the liver. Ann Surg 1999; 229: 460-466.

  14. Mondragón-Sánchez R, Mondragón-Sánchez A, Garduño-López AL. Resección hepática por laparoscopia. Cirugía laparoscópica de órganos sólidos 2001: 24-26.

  15. Fong Y, Jarnagin W, Conlon KC, DeMatten R, Dougherty F, Blumgart LH. Hand-assisted laparoscopic liver resection: lessons from an initial experience. Arch Surg 2000; 135: 854-9.

  16. Antonetti MC, Killelea B, Orlando R. Hand-assisted laparoscopic liver surgery. Arch Surg 2002; 137: 407-11.

  17. Lang BH, Poon RT, Fan ST, Wong J. Influence of laparoscopy on postoperative recurrence and survival in patients with ruptured hepatocellular carcinoma undergoing hepatic resection. Br J Surg 2004: 444-49.

  18. John TG, Greig JD, Crosbie JL, Miles WF, Garden OJ. Superior staging of liver tumors with laparoscopy and laparoscopic ultrasound. Ann Surg 1994; 220: 711-19.

  19. Gigot JF, Glineur D, Azagra JS et al. Laparoscopic liver resection for malignant liver tumors: preliminary results of a Multicenter European Study. Ann Surg 2002; 236: 90-97.

  20. Buell LF, Tevar AD, Thomas MJ et al. Safety of laparoscopic hepatic resection. J Gastroint Surg 2005; 9: 541.

  21. Mala T, Edwin B, Gladhaug I et al. A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases. Surg Endosc 2002; 16: 1059-63.

  22. Ferges O, Jagot P, Kirstetter P, Marty J, Belghiti J. Prospective assessment of the safety and benefit of laparoscopic liver resection. J Hepatobiliary Pancreat Surg 2002; 9: 242-48.

  23. Mondragón-Sánchez A, Mondragón-Sánchez R, Santana VM, Mondragón-Ballesteros R. Hemorragia intraquística con ruptura a cavidad abdominal de un quiste no-parasitario de hígado. Cir-Ciruj 1994; 61: 25-27.

  24. Mondragón-Sánchez R, Mondragón-Sánchez A, Gómez-Gómez E y cols. Manejo de la enfermedad quística y poliquística de hígado. ¿Quién es el candidato ideal para el abordaje laparoscópico? Revista Mexicana de Cirugía Endoscópica 2002; 1: 28-33.

  25. Khoury G, Jabbour-Khoury S, Soueidi A et al. Anaphylactic shock complicating laparoscopic treatment of hydatid cysts of the liver. Surg Endosc 1998; 12: 452.

  26. Azagra JS, Goergen M, Gilbart E, Jacobs D. Laparoscopic anatomical (hepatic) left lateral segmentectomy- Technical aspects. Surg Endosc 1996; 10: 758-761.

  27. Descotess B, Lachachi E, Sodji M et al. Early experience with laparoscopic approach for solid liver tumors: initial 16 cases. Ann Surg 2000; 232: 641-645.

  28. Yamanaka N, Tanaka T, Tanaka W et al. Laparoscopic partial hepatectomy. Hepato-Gastroenterology 1998; 45: 29-33.

  29. Sato M, Watanabe Y, Ueda S, Kawachi K. Minimally invasive hepatic resection using laparoscopic surgery and minithoracotomy. Arch Surg 1997; 132: 206-208.

  30. Clancy TE, Swanson RS. Laparoscopic radiofrequency-assisted liver resection (LRR): A new technique for minimally invasive liver resection in cirrhotic patients. J Gastrointest Surg 2005; 9: 551.

  31. Bachellier P, Pai M, Weber JC, Rosso E et al. Radiofrequency-assisted laparoscopic liver resection. J Gastrointest Surg 2005; 9: 556.

  32. Llovet J. Natural history of untreated nonsurgical hepatocellular carcinoma: Rationale for the design and evaluation of therapeutic trials. Hepatology 1999; 29: 62-67.

  33. Livraghi T, Festi D, Monti F, Salmi A, Vettori C. US-guided percutaneous alcohol injection for small hepatic and abdominal tumors. Radiology 1986; 161: 309-312.

  34. Williams R, Rizzi P. Treating small hepatocellular carcinomas. N Engl J Med 1996; 334: 728-729.

  35. Livraghi T, Benedini V, Lazzoroni S, Meloni F, Torzilli G, Vettori C. Long term results of single session percutaneous ethanol injection in patients with large hepatocellular carcinoma. Cancer 1998; 83: 48-57.

  36. Mondragón-Sánchez R, Garduño-López AL, Murrieta H, Frías-Mendivil M, Espejo R, Mondragón-Sánchez A, Bernal-Maldonado R. Intraoperative Abdominal Ultrasonography-guided large volumen ethanol injection for Hepatocellular. Carcinoma. Gastroenterology 2001; 120(Suppl 1): 2450.

  37. Curley S, Izzo F, Ellis LM, Vauthey JN et al. Radiofrequency ablation of hepatocelullar cancer in 110 patients with cirrhosis. Ann Surg 2000; 232: 381-391.

  38. Pearson AS, Izzo F, Fleming RYD, Ellis LM et al. Intraoperative radiofrequency or cryoablation for hepatic malignancies. Am J Surg 1999; 178: 592-599.

  39. Mondragón-Sánchez R, Martínez-González MN, Murrieta-González H, Mondragón-Sánchez A, Gómez-Gómez E, et al. Radiofrequency ablation for unresectable liver lesions. J Gastrointest Surg 2005; 9: 577.

  40. Gagner M, Rogula T, Selzer D. Laparoscopic liver resection: benefits and controversies. Surg Clin N Am 2004; 84: 451-62.




2020     |     www.medigraphic.com