Pure Laparoscopic Hepatectomy Combined with a Pure Laparoscopic Pringle Maneuver in Patients with Severe Cirrhosis

Laparoscopic hepatectomy is a standard surgical procedure. However, it is difficult to perform in patients with severe cirrhosis because of fibrosis and a high risk of hemorrhage. We report our recent experience in five cases of pure laparoscopic hepatectomy combined with a pure laparoscopic Pringle...

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Bibliographic Details
Published in:Case reports in gastroenterology 2015-04, Vol.9 (1), p.101-105
Main Authors: Miyagi, Shigehito, Nakanishi, Chikashi, Kawagishi, Naoki, Kamei, Takashi, Satomi, Susumu, Ohuchi, Noriaki
Format: Article
Language:English
Subjects:
Ascites
Liver cirrhosis
Pringle maneuver
Published: April 2015
Pure laparoscopic hepatectomy
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Summary:Laparoscopic hepatectomy is a standard surgical procedure. However, it is difficult to perform in patients with severe cirrhosis because of fibrosis and a high risk of hemorrhage. We report our recent experience in five cases of pure laparoscopic hepatectomy combined with a pure laparoscopic Pringle maneuver in patients with severe cirrhosis. From 2012 to 2014, we performed pure laparoscopic partial hepatectomy in five patients with severe liver cirrhosis (indocyanine green retention rate at 15 min [ICG R15] >30% and fibrosis stage f4). A pure laparoscopic Pringle maneuver was employed in all patients. We investigated operative time, blood loss, duration of hospitalization and the days when discharge was possible, and compared these findings with those of patients with a normal liver (ICG R15
ISSN:1662-0631
1662-0631
DOI:10.1159/000381394