지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.12
- 수록면
- 122 - 125 (4page)
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초록· 키워드
오류제보하기
Purpose: Laparoscopic hepatectomy has been widely performed by hepatobiliary surgeons for malignancy of liver and gained wide acceptance for various liver tumors, thanks to advances in surgical techniques and devices. But, there are some challenges for right side tumor in patients of cirrhotic liver. Especially, tumor located in right upper area is difficult for wedge resection in patients with marginal liver function, because trans-abdominal approach requires normal parenchymal dissection. Radiofrequency wave ablation is also difficult for such a lesion. So, we demonstrate unique technique of video-assisted transthoracic liver resection (VTLR) for overcome right upper side tumor abutting diaphragm.
Methods: Four patients underwent VTLR. Four ports in right chest wall were created by a chest surgeon and diaphragm was open. Then traction of the diaphragm was done by suture. After exposure of liver surface, tumor localization was done by ultrasound. The mass excision was done by ultrasonic shear.
Results: Four patients were discharged without complications within 11.3 days (range, 6–15 days). On average, patients started to consume a normal diet on an average of 2.4 days (range, 1–4 days).
Conclusion: VTLR is could be performed by an experienced surgeon and chest surgeon for right upper liver malignancy abutting diaphragm in patient of marginal liver function.
Methods: Four patients underwent VTLR. Four ports in right chest wall were created by a chest surgeon and diaphragm was open. Then traction of the diaphragm was done by suture. After exposure of liver surface, tumor localization was done by ultrasound. The mass excision was done by ultrasonic shear.
Results: Four patients were discharged without complications within 11.3 days (range, 6–15 days). On average, patients started to consume a normal diet on an average of 2.4 days (range, 1–4 days).
Conclusion: VTLR is could be performed by an experienced surgeon and chest surgeon for right upper liver malignancy abutting diaphragm in patient of marginal liver function.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (6)
참고문헌 신청
Buell JF / 2009 / The international position on laparoscopic liver surgery : the Louisville Statement, 2008 / Ann Surg 250:825~830
Alkhalili E / 2014 / Laparoscopic liver resection for malignancy : a review of the literature / World J Gastroenterol 20:13599~13606
Kaneko H / 1996 / Laparoscopic partial hepatectomy and left lateral segmentectomy : technique and results of a clinical series / Surgery 120:468~475
Sasaki A / 2009 / Ten-year experience of totally laparoscopic liver resection in a single institution / Br J Surg 96:274~279
Yoon SY / 2015 / Oncological and surgical results of laparoscopic versus open liver resection for HCC less than 5 cm : case-matched analysis / Surg Endosc 29:2628~2634
Alkhalili E / 2014 / Laparoscopic liver resection for malignancy : a review of the literature / World J Gastroenterol 20:13599~13606
Kaneko H / 1996 / Laparoscopic partial hepatectomy and left lateral segmentectomy : technique and results of a clinical series / Surgery 120:468~475
Sasaki A / 2009 / Ten-year experience of totally laparoscopic liver resection in a single institution / Br J Surg 96:274~279
Yoon SY / 2015 / Oncological and surgical results of laparoscopic versus open liver resection for HCC less than 5 cm : case-matched analysis / Surg Endosc 29:2628~2634
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