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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Laparoscopic liver resection: Experience based guidelines</title><author><name sortKey="Coelho, Fabricio Ferreira" sort="Coelho, Fabricio Ferreira" uniqKey="Coelho F" first="Fabricio Ferreira" last="Coelho">Fabricio Ferreira Coelho</name></author><author><name sortKey="Kruger, Jaime Arthur Pirola" sort="Kruger, Jaime Arthur Pirola" uniqKey="Kruger J" first="Jaime Arthur Pirola" last="Kruger">Jaime Arthur Pirola Kruger</name></author><author><name sortKey="Fonseca, Gilton Marques" sort="Fonseca, Gilton Marques" uniqKey="Fonseca G" first="Gilton Marques" last="Fonseca">Gilton Marques Fonseca</name></author><author><name sortKey="Araujo, Raphael Leonardo Cunha" sort="Araujo, Raphael Leonardo Cunha" uniqKey="Araujo R" first="Raphael Leonardo Cunha" last="Araújo">Raphael Leonardo Cunha Araújo</name></author><author><name sortKey="Jeismann, Vagner Birk" sort="Jeismann, Vagner Birk" uniqKey="Jeismann V" first="Vagner Birk" last="Jeismann">Vagner Birk Jeismann</name></author><author><name sortKey="Perini, Marcos Vinicius" sort="Perini, Marcos Vinicius" uniqKey="Perini M" first="Marcos Vinícius" last="Perini">Marcos Vinícius Perini</name></author><author><name sortKey="Lupinacci, Renato Micelli" sort="Lupinacci, Renato Micelli" uniqKey="Lupinacci R" first="Renato Micelli" last="Lupinacci">Renato Micelli Lupinacci</name></author><author><name sortKey="Cecconello, Ivan" sort="Cecconello, Ivan" uniqKey="Cecconello I" first="Ivan" last="Cecconello">Ivan Cecconello</name></author><author><name sortKey="Herman, Paulo" sort="Herman, Paulo" uniqKey="Herman P" first="Paulo" last="Herman">Paulo Herman</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26843910</idno><idno type="pmc">4724587</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4724587</idno><idno type="RBID">PMC:4724587</idno><idno type="doi">10.4240/wjgs.v8.i1.5</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000654</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000654</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Laparoscopic liver resection: Experience based guidelines</title><author><name sortKey="Coelho, Fabricio Ferreira" sort="Coelho, Fabricio Ferreira" uniqKey="Coelho F" first="Fabricio Ferreira" last="Coelho">Fabricio Ferreira Coelho</name></author><author><name sortKey="Kruger, Jaime Arthur Pirola" sort="Kruger, Jaime Arthur Pirola" uniqKey="Kruger J" first="Jaime Arthur Pirola" last="Kruger">Jaime Arthur Pirola Kruger</name></author><author><name sortKey="Fonseca, Gilton Marques" sort="Fonseca, Gilton Marques" uniqKey="Fonseca G" first="Gilton Marques" last="Fonseca">Gilton Marques Fonseca</name></author><author><name sortKey="Araujo, Raphael Leonardo Cunha" sort="Araujo, Raphael Leonardo Cunha" uniqKey="Araujo R" first="Raphael Leonardo Cunha" last="Araújo">Raphael Leonardo Cunha Araújo</name></author><author><name sortKey="Jeismann, Vagner Birk" sort="Jeismann, Vagner Birk" uniqKey="Jeismann V" first="Vagner Birk" last="Jeismann">Vagner Birk Jeismann</name></author><author><name sortKey="Perini, Marcos Vinicius" sort="Perini, Marcos Vinicius" uniqKey="Perini M" first="Marcos Vinícius" last="Perini">Marcos Vinícius Perini</name></author><author><name sortKey="Lupinacci, Renato Micelli" sort="Lupinacci, Renato Micelli" uniqKey="Lupinacci R" first="Renato Micelli" last="Lupinacci">Renato Micelli Lupinacci</name></author><author><name sortKey="Cecconello, Ivan" sort="Cecconello, Ivan" uniqKey="Cecconello I" first="Ivan" last="Cecconello">Ivan Cecconello</name></author><author><name sortKey="Herman, Paulo" sort="Herman, Paulo" uniqKey="Herman P" first="Paulo" last="Herman">Paulo Herman</name></author></analytic><series><title level="j">World Journal of Gastrointestinal Surgery</title><idno type="eISSN">1948-9366</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Laparoscopic liver resection (LLR) has been progressively developed along the past two decades. Despite initial skepticism, improved operative results made laparoscopic approach incorporated to surgical practice and operations increased in frequency and complexity. Evidence supporting LLR comes from case-series, comparative studies and meta-analysis. Despite lack of level 1 evidence, the body of literature is stronger and existing data confirms the safety, feasibility and benefits of laparoscopic approach when compared to open resection. Indications for LLR do not differ from those for open surgery. They include benign and malignant (both primary and metastatic) tumors and living donor liver harvesting. Currently, resection of lesions located on anterolateral segments and left lateral sectionectomy are performed systematically by laparoscopy in hepatobiliary specialized centers. Resection of lesions located on posterosuperior segments (1, 4a, 7, 8) and major liver resections were shown to be feasible but remain technically demanding procedures, which should be reserved to experienced surgeons. Hand-assisted and laparoscopy-assisted procedures appeared to increase the indications of minimally invasive liver surgery and are useful strategies applied to difficult and major resections. LLR proved to be safe for malignant lesions and offers some short-term advantages over open resection. Oncological results including resection margin status and long-term survival were not inferior to open resection. At present, surgical community expects high quality studies to base the already perceived better outcomes achieved by laparoscopy in major centers’ practice. Continuous surgical training, as well as new technologies should augment the application of laparoscopic liver surgery. Future applicability of new technologies such as robot assistance and image-guided surgery is still under investigation.</p></div></front></TEI><pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">World J Gastrointest Surg</journal-id><journal-id journal-id-type="publisher-id">WJGS</journal-id><journal-title-group><journal-title>World Journal of Gastrointestinal Surgery</journal-title></journal-title-group><issn pub-type="epub">1948-9366</issn><publisher><publisher-name>Baishideng Publishing Group Inc</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26843910</article-id><article-id pub-id-type="pmc">4724587</article-id><article-id pub-id-type="other">jWJGS.v8.i1.pg5</article-id><article-id pub-id-type="doi">10.4240/wjgs.v8.i1.5</article-id><article-categories><subj-group subj-group-type="heading"><subject>Topic Highlight</subject></subj-group></article-categories><title-group><article-title>Laparoscopic liver resection: Experience based guidelines</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Coelho</surname><given-names>Fabricio Ferreira</given-names></name></contrib><contrib contrib-type="author"><name><surname>Kruger</surname><given-names>Jaime Arthur Pirola</given-names></name></contrib><contrib contrib-type="author"><name><surname>Fonseca</surname><given-names>Gilton Marques</given-names></name></contrib><contrib contrib-type="author"><name><surname>Araújo</surname><given-names>Raphael Leonardo Cunha</given-names></name></contrib><contrib contrib-type="author"><name><surname>Jeismann</surname><given-names>Vagner Birk</given-names></name></contrib><contrib contrib-type="author"><name><surname>Perini</surname><given-names>Marcos Vinícius</given-names></name></contrib><contrib contrib-type="author"><name><surname>Lupinacci</surname><given-names>Renato Micelli</given-names></name></contrib><contrib contrib-type="author"><name><surname>Cecconello</surname><given-names>Ivan</given-names></name></contrib><contrib contrib-type="author"><name><surname>Herman</surname><given-names>Paulo</given-names></name></contrib><aff>Fabricio Ferreira Coelho, Jaime Arthur Pirola Kruger, Gilton Marques Fonseca, Raphael Leonardo Cunha Araújo, Vagner Birk Jeismann, Ivan Cecconello, Paulo Herman, Liver Surgery Unit, Department of Gastroenterology, University of São Paulo Medical School, São Paulo, CEP 05403-900, Brazil</aff><aff>Marcos Vinícius Perini, Austin Health, Department of Surgery, University of Melbourne, Heidelberg, VIC 3084, Australia</aff><aff>Renato Micelli Lupinacci, Service de Chirurgie Digestive, Viscérale et Endocrinienne Groupe Hospitalier Diaconesses-Croix Saint Simon, 75020 Paris, France</aff></contrib-group><author-notes><fn><p>Author contributions: Coelho FF, Kruger JAP and Herman P designed the study, reviewed the literature, collected data, wrote the manuscript and approved the final version of the manuscript; Fonseca GM, Araújo RLC and Jeismann VB reviewed the literature, collected data and wrote the manuscript; Perini MV, Lupinacci RM and Ceconello I completed final revision of the manuscript.</p><p>Correspondence to: Fabricio Ferreira Coelho, MD, PhD, Liver Surgery Unit, Department of Gastroenterology, University of Sao Paulo Medical School, Rua Dr. Enéas de Carvalho Aguiar, 255 - 9º andar - sala 9025, São Paulo, CEP 05403-900, Brazil. <email>fabricio.coelho@hc.fm.usp.br</email></p><p>Telephone: +55-11-26617561 Fax: +55-11-26619008</p></fn></author-notes><pub-date pub-type="ppub"><day>27</day><month>1</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>27</day><month>1</month><year>2016</year></pub-date><volume>8</volume><issue>1</issue><fpage>5</fpage><lpage>26</lpage><history><date date-type="received"><day>28</day><month>4</month><year>2015</year></date><date date-type="rev-recd"><day>7</day><month>9</month><year>2015</year></date><date date-type="accepted"><day>24</day><month>11</month><year>2015</year></date></history><permissions><copyright-statement>©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.</copyright-statement><copyright-year>2016</copyright-year></permissions><abstract><p>Laparoscopic liver resection (LLR) has been progressively developed along the past two decades. Despite initial skepticism, improved operative results made laparoscopic approach incorporated to surgical practice and operations increased in frequency and complexity. Evidence supporting LLR comes from case-series, comparative studies and meta-analysis. Despite lack of level 1 evidence, the body of literature is stronger and existing data confirms the safety, feasibility and benefits of laparoscopic approach when compared to open resection. Indications for LLR do not differ from those for open surgery. They include benign and malignant (both primary and metastatic) tumors and living donor liver harvesting. Currently, resection of lesions located on anterolateral segments and left lateral sectionectomy are performed systematically by laparoscopy in hepatobiliary specialized centers. Resection of lesions located on posterosuperior segments (1, 4a, 7, 8) and major liver resections were shown to be feasible but remain technically demanding procedures, which should be reserved to experienced surgeons. Hand-assisted and laparoscopy-assisted procedures appeared to increase the indications of minimally invasive liver surgery and are useful strategies applied to difficult and major resections. LLR proved to be safe for malignant lesions and offers some short-term advantages over open resection. Oncological results including resection margin status and long-term survival were not inferior to open resection. At present, surgical community expects high quality studies to base the already perceived better outcomes achieved by laparoscopy in major centers’ practice. Continuous surgical training, as well as new technologies should augment the application of laparoscopic liver surgery. Future applicability of new technologies such as robot assistance and image-guided surgery is still under investigation.</p></abstract><kwd-group><kwd>Minimally invasive surgery</kwd><kwd>Laparoscopic surgery</kwd><kwd>Hand-assisted laparoscopy</kwd><kwd>Liver neoplasm</kwd><kwd>Liver cirrhosis</kwd><kwd>Living donor</kwd><kwd>Liver</kwd><kwd>Hepatectomy</kwd><kwd>Liver transplantation</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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