Annals of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회지)

The Korean Association of Hepato-Biliary-Pancreatic Surgery (한국간담췌외과학회)
권호 표지

The Feasibility of Laparoscopic Hepatectomy for the Patients with Left Intrahepatic Stones

좌측 간내 결석 환자에서 복강경 간절제의 유용성

  • Kim, Ju-Yeon (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Moon, Hyoung-Gon (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Jeong, Sang-Ho (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Ju, Young-Tae (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Jung, Eun-Joung (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Lee, Young-Joon (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Hong, Soon-Chan (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Choi, Sang-Kyung (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Park, Soon-Tae (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University) ;
  • Ha, Woo-Song ;
  • Jeong, Chi-Young (Department of Surgery, Postgraduate school of Medicine, Geyongsang National University)
  • 김주연 (경상대학교 의과대학 외과학 교실) ;
  • 문형곤 (경상대학교 의과대학 외과학 교실) ;
  • 정상호 (경상대학교 의과대학 외과학 교실) ;
  • 주영태 (경상대학교 의과대학 외과학 교실) ;
  • 정은정 (경상대학교 의과대학 외과학 교실) ;
  • 이영준 (경상대학교 의과대학 외과학 교실) ;
  • 홍순찬 (경상대학교 의과대학 외과학 교실) ;
  • 최상경 (경상대학교 의과대학 외과학 교실) ;
  • 박순태 (경상대학교 의과대학 외과학 교실) ;
  • 하우송 ;
  • 정치영 (경상대학교 의과대학 외과학 교실)
  • Published : 2009.09.30

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Abstract

Purpose : Recently, there have been several studies on the early results on the use of hepatectomy for the treatment of a variety of hepatic lesions. We report the early experience of our hospital after totally laparoscopic left hepatectomy in patients with intrahepatic stones in the left hemi-liver. Methods : We analyzed the medical records of patients on a retrospective bases, who had been diagnosed with left intrahepatic stones and had undergone an hepatectomy between January 2007 and June 2009. Patients were grouped according to their operative procedure into one of the following: open hepatectomy, laparoscopy-assisted hepatectomy, and totally laparoscopic hepatectomy. Results : There were 31 patients who underwent Lt hemihepatectomy and Lt lateral sectionectomy during the time period under study. Hepatectomy with open method, laparoscopy-assisted method, and totally laparoscopy method were performed in 10, 14, and 7 cases. There were no significant differences between the 3 methods for operating time and postoperative complications. However, the number of fasting times and hospital days was shorter with performing total laparoscopic hepatectomy than in other occasions. Conclusion : Totally laparoscopic liver resection is a safe and useful method for treating patients with intrahepatic stones and offers the advantage of quick patient recovery. Careful selection of appropriate patients and further development in the laparoscopic surgical technique resulting from accumulated experiences will help enable the laparoscopic hepatectomy to be performed more easily and safely in patients with intrahepatic stones.

Keywords

References

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