Abstract
Purpose : We started performing laparoscopic liver resection in our department in November, 2010. Here, we report the indications, procedure, and the results of this operation. Method : Using laparoscopic surgery, we resected ten hepatocellular carcinomas, three cholangiocellular carcinomas, four metastatic liver tumors, and three other liver tumors. We examined the operating time, blood loss, and complications. Results : We performed 13 laparoscopy-assisted liver resections and seven pure laparoscopy liver resections in one year. The mean operating time was 6 hours and 58 minutes for laparoscopy-assisted liver resection and 5 hours and 27 minutes for pure laparoscopy liver resection ; the mean blood loss was 765 and 390 mL, respectively. Postoperative complications occurred in two patients : bile duct leakage and liver failure in one patient and pneumonia in the other. Conclusion : Once the technical procedures for laparoscopic hepatectomy are learned, laparoscopic liver resection may be applicable to hepatic tumors.
