Towards the 2nd International Consensus Conference on Laparoscopic Liver Resection.

نویسنده

  • Go Wakabayashi
چکیده

Six years have passed since the 1st International Consensus Conference on Laparoscopic Liver Resection was held. This comparatively new surgical technique has evolved during this time and is rapidly being adopted worldwide (Fig. 1). To clarify the answers to the questions of how the value, safety, and quality of this procedure compare with those of open hepatectomy at this point in preparation for the 2nd International Consensus Conference on Laparoscopic Liver Resection, we have investigated the following four points in this special issue in advance of the conference: (1) Theoretical superiority of laparoscopic hepatectomy with search of the literature to look for the best available evidence; (2) Survey of the extent of adoption of laparoscopic hepatectomy worldwide; (3) Concentration of major hepatectomy in institutions that handle large numbers of cases; and (4) Evaluation of the difficulty of laparoscopic hepatectomy. In my opinion, laparoscopic liver resection is superior to the open approach because the laparoscope allows better exposure with a magnified view, and the pneumoperitoneal pressure reduces hepatic vein bleeding from the cut surface. The concept for liver resection has changed from the open ventral approach to the laparoscopic caudal approach (Fig. 2). This is the reason that I began laparoscopic living

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عنوان ژورنال:
  • Journal of hepato-biliary-pancreatic sciences

دوره 21 10  شماره 

صفحات  -

تاریخ انتشار 2014