Laparoscopic liver resection for malignancy: a review of the literature

World J Gastroenterol. 2014 Oct 7;20(37):13599-606. doi: 10.3748/wjg.v20.i37.13599.

Abstract

Aim: To review the published literature about laparoscopic liver resection for malignancy.

Methods: A PubMed search was performed for original published studies until June 2013 and original series containing at least 30 patients were reviewed.

Results: All forms of hepatic resections have been described ranging from simple wedge resections to extended right or left hepatectomies. The usual approach is pure laparoscopic, but hand-assisted, as well as robotic approaches have been described. Most studies showed comparable results to open resection in terms of operative blood loss, postoperative morbidity and mortality. Many of them showed decreased postoperative pain, shorter hospital stays, and even lower costs. Oncological results including resection margin status and long-term survival were not inferior to open resection.

Conclusion: In the hands of experienced surgeons, laparoscopic liver resection for malignant lesions is safe and offers some short-term advantages over open resection. Oncologically, similar survival rates have been observed in patients treated with the laparoscopic approach when compared to their open resection counterparts.

Keywords: Hepatectomy; Laparoscopic liver resection; Laparoscopic liver surgery; Laparoscopy; Liver malignancy.

Publication types

  • Review

MeSH terms

  • Hepatectomy / adverse effects
  • Hepatectomy / methods*
  • Humans
  • Laparoscopy* / adverse effects
  • Laparoscopy* / mortality
  • Liver Neoplasms / mortality
  • Liver Neoplasms / pathology
  • Liver Neoplasms / secondary
  • Liver Neoplasms / surgery*
  • Postoperative Complications / etiology
  • Risk Factors
  • Treatment Outcome