| REVIEW ARTICLES |
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| Year : 2005 | Volume
: 1
| Issue : 3 | Page : 99-109 |
Laparoscopic liver resections
Alfred Cuschieri
Professor of Surgery, Scuola Superiore di Studi Universitari, Pisa, Italy
Correspondence Address:
Alfred Cuschieri
Professor of Surgery, Scuola Superiore di Studi Universitari, Pisa
Italy
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0972-9941.18993
Though still practiced in only a few centres worldwide, laparoscopic liver resections, particularly left hepatectomy offer advantages over the conventional open approach in two important respects: reduced operative blood loss and lower major postoperative morbidity. Two approaches are used: the totally laparoscopic and the hand-assisted technique, which in the author's opinion facilitates both the execution and safety of these procedures, especially major resection of the right liver (right hepatectomy and pluri-segmentectomies). Technologies, which have enabled hepatic resections include: laparoscopic contact ultrasound, linear cutting staplers, ultrasonic dissection, LigaSure and TissueLink. The components operative steps necessary for these resections as practised by the author are described in this review.
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