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Laparoscopic liver resection with the water-jet dissector

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Abstract

Laparoscopic liver resection requires careful patient selection. Tumor size and location have a major influence on the feasibility of a laparoscopic operation. Isolation and ligation of blood vessels and bile ducts after selective liver dissection by suitable techniques are important for visual control of the operating field.

Since the Jet-Cutter has proven to give excellent clinical results in conventional liver surgery, we carried out laparoscopic liver resections with the Jet-Cutter in six patients. Five tumors were located in the left liver lobe; the fifth was in segment 6. There were no intra- or postoperative complications. The patients were discharged from the hospital after a mean of 5.4±2.1 days.

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References

  1. Baer HU, Maddern GJ, Blumgart LH (1991) New water-jet dissector: initial experience in hepatic surgery. Br J Surg 78: 502–503

    Google Scholar 

  2. Baer HU, Metzger A, Barras JP, Mettler D, Wheatley AM, Czerniak A (1994) Laparoscopic liver resection in the large white pig—a comparison between waterjet dissector and ultrasound dissector. Endosc Surg 2: 189–193

    Google Scholar 

  3. Croce E, Azzola M, Russo R, Golia M, Angelini S, Olmi S (1994) Laparoscopic liver tumor resection with the argon beam. Endosc Surg 2: 186–188

    Google Scholar 

  4. Falcone RE, Wanamaker SR, Barnes F, Baxter CG, Santanello SA (1993) Laparoscopic vs. open wedge biopsy of the liver. J Laparoendosc Surg 3: 325–329

    Google Scholar 

  5. Gayowski TJ, Iwatsuki S, Madariaga JR, Selby R, Todo S, Irish W, Starzl TE (1994) Experience in hepatic resection for metastatic colorectal cancer: analysis of clinical and pathologic risk factors. Surgery 116: 703–711

    CAS  PubMed  Google Scholar 

  6. Hauser CJ, Poole GV (1994) Laparoscopic fenestration of a giant simple hepatic cyst. Surg Endosc 8: 884–886

    Google Scholar 

  7. Lange V, Meyer G, Rau HG, Schildberg FW (1992) Minimalinvasive Eingriffe bei solitären Leberzysten. Chirurg 63: 349–352

    CAS  PubMed  Google Scholar 

  8. Lefor AT, Flowers JL (1994) Laparoscopic wedge biopsy of the liver. J Am Coll Surg 178: 307–308

    Google Scholar 

  9. Libutti SK, Starker PM (1994) Laparoscopic wedge biopsy of the liver. J Am Coll Surg 178: 307–308

    Google Scholar 

  10. Libutti SK, Starker PM (1994) Laparoscopic resection of a nonparasitic liver cyst. Surg Endosc 8: 1105–1107

    Google Scholar 

  11. Masutani S, Sasaki Y, Imaoka S, Iwamoto S, Ohashi I, Kameyama M, Kabuto T, Ishikawa O, Furukawa H, Kayama H, Iwanaga T (1994) The prognostic significance of surgical margin in liver resection of patients with hepatocellular carcinoma. Arch Surg 129: 1025–1030

    Google Scholar 

  12. Nduka CC, Monson JRT, Menzies-Gow N, Darzi A (1994) Abdominal wall metastases following laparoscopy. Br J Surg 81: 648–652

    Google Scholar 

  13. Okamoto E, Kyo A, Yamanaka N, Tanaka N, Kuwata K (1984) Prediction of safe limits of hepatectomy by combined volumetric and functional measurements in patients with impaired hepatic function. Surgery 95: 586–592

    Google Scholar 

  14. Polacin A, Kalender WA, Marchal G (1992) Evaluation of section sensitivity profiles and image noise in spiral CT. Radiology 185: 29–35

    Google Scholar 

  15. Rau HG, Arnold H, Schildberg FW (1990) Schneiden mit dem Wasserstrahl (Jet-Cutting); eine Alternative zum Ultraschallaspirator. Chiurg 61: 735–738

    Google Scholar 

  16. Rau HG, Schardey HM, Buttler E, Reuter C, Cohnert TU, Schildberg FW (1995) The comparison of different techniques for liver resection: blunt dissection, ultrasonic aspirator and Jet-Cutter. Eur J Surg Oncol 21: 183–187

    Google Scholar 

  17. Reich H, McGlynn F, DeCaprio J, Budin R (1991) Laparoscopic excision of benign liver lesions. Obstet Gynecol 78: 956–958

    Google Scholar 

  18. Scheele J (1989) Die segmentorientierte Leberresektion: Grundlagen, Technik, Stellenwert. Chirurg 60: 251–265

    Google Scholar 

  19. Wayand W, Woisetschläger R (1993) Laparoskopische Resektion einer Lebermetastase. Chirurg 64: 195–197

    Google Scholar 

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Rau, H.G., Meyer, G., Cohnert, T.U. et al. Laparoscopic liver resection with the water-jet dissector. Surg Endosc 9, 1009–1012 (1995). https://doi.org/10.1007/BF00188462

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  • DOI: https://doi.org/10.1007/BF00188462

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