Laparoscopic liver resections in normal and cirrhotic livers: A retrospective analysis in a tertiary hepato-biliary unit

Giuseppe Maria Ettorre, Andrea Laurenzi, Raffaella Lionetti, Roberto Santoro, Pasquale Lepiane, Marco Colasanti, Lidia Colace, Pierluca Piselli, Claudio Puoti, Gianpiero D'Offizi, Mario Antonini, Giovanni Vennarecci

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Abstract

Background: Liver surgery in patients with underlying liver disease results in higher mortality and morbidity rates compared to patients without underlying liver disease. Laparoscopy seems to have good results in patients with normal liver in terms of postoperative outcomes, but is more challenging in cirrhotic patients.Aim of this study was to evaluate the feasibility of laparoscopic liver resection both in normal and cirrhotic livers, and secondary endpoint was to compare the surgical results. Methods: We retrospectively evaluated 105 patients who underwent laparoscopic liver resection between November 2001 and January 2012. Candidates for laparoscopic liver resection were divided into two groups according to the presence or absence of an underlying liver disease. Results: 105 patients (52.4% males, median age 56.1 years) were enrolled, and 37.1% had liver cirrhosis. Hepatocellular carcinoma in hepatitis C virus-related cirrhosis (89.7%) and liver metastases (57.6%) were the main indications for surgery in patients with cirrhosis and non-cirrhotic livers, respectively. None of the patients died post-operatively. Cirrhotic patients had greater blood loss (100 vs 50. ml; p

Original languageEnglish
Pages (from-to)353-357
Number of pages5
JournalDigestive and Liver Disease
Volume46
Issue number4
DOIs
Publication statusPublished - 2014

Fingerprint

Liver
Liver Diseases
Liver Cirrhosis
Hepacivirus
Laparoscopy
Hepatocellular Carcinoma
Fibrosis
Neoplasm Metastasis
Morbidity
Mortality

Keywords

  • Laparoscopic liver resections
  • Liver cirrhosis

ASJC Scopus subject areas

  • Gastroenterology
  • Hepatology

Cite this

Laparoscopic liver resections in normal and cirrhotic livers : A retrospective analysis in a tertiary hepato-biliary unit. / Ettorre, Giuseppe Maria; Laurenzi, Andrea; Lionetti, Raffaella; Santoro, Roberto; Lepiane, Pasquale; Colasanti, Marco; Colace, Lidia; Piselli, Pierluca; Puoti, Claudio; D'Offizi, Gianpiero; Antonini, Mario; Vennarecci, Giovanni.

In: Digestive and Liver Disease, Vol. 46, No. 4, 2014, p. 353-357.

Research output: Contribution to journalArticle

Ettorre, Giuseppe Maria ; Laurenzi, Andrea ; Lionetti, Raffaella ; Santoro, Roberto ; Lepiane, Pasquale ; Colasanti, Marco ; Colace, Lidia ; Piselli, Pierluca ; Puoti, Claudio ; D'Offizi, Gianpiero ; Antonini, Mario ; Vennarecci, Giovanni. / Laparoscopic liver resections in normal and cirrhotic livers : A retrospective analysis in a tertiary hepato-biliary unit. In: Digestive and Liver Disease. 2014 ; Vol. 46, No. 4. pp. 353-357.
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AU - Vennarecci, Giovanni

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