Imperial College London
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Professor Long R Jiao MD FRCS

Faculty of Medicine, Department of Surgery & Cancer

Professor of Surgery
 
 
 
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Contact

 

+44 (0)20 3313 3937l.jiao

 
 
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Location

 

BN1/15 Area BHammersmith HospitalHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@article{Fuks:2017:10.1097/SLE.0000000000000415,
author = {Fuks, D and Aldrighetti, L and Jiao, LR and Wakabayashi, G and Limongelli, P},
doi = {10.1097/SLE.0000000000000415},
journal = {Surgical Laparoscopy, Endoscopy and Percutaneous Techniques},
pages = {203--205},
title = {Laparoscopic Management of Hepatocellular Carcinoma: A Critical Reappraisal.},
url = {http://dx.doi.org/10.1097/SLE.0000000000000415},
volume = {27},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Following the introduction of the first laparoscopic liver resection, after ∼25 years, a critical reappraisal seems to be warranted. Liver resection represents the first choice for curing early hepatocellular carcinoma (HCC) allowing a curative chance also in selected patients with intermediate stage tumors. The criteria for liver resectability by laparoscopy remains the same for open surgery, which is oncological criteria (absence of extrahepatic tumor location; completely resectable R0 resection), anatomic (resectability of involved segment with its own blood surely and biliary drainage; absence of vascular invasion of portal or hepatic veins) and technical (possibility to leave in place a residual volume ≥40%). Anatomic resections being more challenging than wedged resections, were initially performed mainly for lesions located in the left liver (segments 2, 3, and 4) and segments 5 and 6 of the right liver (anterior and lateral hepatic segments). Left lateral segmentectomy seemed most suited for laparoscopic resection because of the thinness of the liver, the possibility of resection without hilar dissection, ease of stapling the left hepatic vein and portal pedicles of segment II and III by mechanical stapling. Conversely, right hepatectomy seemed most difficult and technically challenging to perform. The analysis of literature confirms that minor liver resections for HCC can be safely conducted also in cirrhotic patients and that laparoscopy, when feasible, should be the approach of first choice. As mentioned, there have been several studies that compared the long-term outcomes of laparoscopic hepatectomy (LH) versus open hepatectomy for HCC, even in cirrhotic patients, showing that laparoscopy does not seem to have any impact on the risk of postoperative HCC recurrence. However, further studies seem to be required, especially for long-term oncological results and for major hepatectomy, before LH become a common alternative to open liver surgery. The pr
AU  - Fuks,D
AU  - Aldrighetti,L
AU  - Jiao,LR
AU  - Wakabayashi,G
AU  - Limongelli,P
DO  - 10.1097/SLE.0000000000000415
EP  - 205
PY  - 2017///
SN  - 1530-4515
SP  - 203
TI  - Laparoscopic Management of Hepatocellular Carcinoma: A Critical Reappraisal.
T2  - Surgical Laparoscopy, Endoscopy and Percutaneous Techniques
UR  - http://dx.doi.org/10.1097/SLE.0000000000000415
VL  - 27
ER  -
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