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Use of single-port technique for laparoscopic liver resections - Slovenian experience
EAES Academy. Novak J. 07/05/22; 363061; P106
Dr. Jerica Novak
Dr. Jerica Novak
Contributions
Abstract
Aim:
Single-port laparoscopic hepatectomy is an emerging surgical modality for the treatment of the benign and malignant liver lesions. Due to the methods technical challenges it is suitable for experienced hepatobilliary surgeons in selected group of patients. The aim of this study was to evaluate the results of a single Slovenian centre performing single-port laparoscopic hepatectomy.
Methods:

A single centre retrospective consecutive case series of the eleven patients with liver disease operated with the single-port technique form January 2018 to April 2021 at the Department of the Abdominal Surgery in the University Medical Centre Ljubljana was performed. Lesions were chiefly located in the left lateral section or sixth liver segment. The operative time, conversion rate, length of the hospital stay and surgical complications were recorded and evaluated.
Results:

We performed eleven single-port liver hepatectomies (median age 63, range 31 to 79 years). Mean operative time was 97 min. None of the cases was converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in case of malignant disease. The mean hospital stay was 4 days. No major surgical complication or morbidity were noted.
Conclusions:

The single-port laparoscopic hepatectomy is a safe and feasible technique for the operation of benign and malignant liver lesions in hands of skilled and well trained surgeons.
Aim:
Single-port laparoscopic hepatectomy is an emerging surgical modality for the treatment of the benign and malignant liver lesions. Due to the methods technical challenges it is suitable for experienced hepatobilliary surgeons in selected group of patients. The aim of this study was to evaluate the results of a single Slovenian centre performing single-port laparoscopic hepatectomy.
Methods:

A single centre retrospective consecutive case series of the eleven patients with liver disease operated with the single-port technique form January 2018 to April 2021 at the Department of the Abdominal Surgery in the University Medical Centre Ljubljana was performed. Lesions were chiefly located in the left lateral section or sixth liver segment. The operative time, conversion rate, length of the hospital stay and surgical complications were recorded and evaluated.
Results:

We performed eleven single-port liver hepatectomies (median age 63, range 31 to 79 years). Mean operative time was 97 min. None of the cases was converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in case of malignant disease. The mean hospital stay was 4 days. No major surgical complication or morbidity were noted.
Conclusions:

The single-port laparoscopic hepatectomy is a safe and feasible technique for the operation of benign and malignant liver lesions in hands of skilled and well trained surgeons.

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