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Laparoscopic major hepato‐biliary‐pancreatic surgery: formidable challenge to standardization
Author(s) -
Cho Akihiro,
Yamamoto Hiroshi,
Nagata Matsuo,
Takiguchi Nobuhiro,
Shimada Hideaki,
Kainuma Osamu,
Souda Hiroaki,
Gunji Hisashi,
Miyazaki Akinari,
Ikeda Atsushi,
Tohma Tomoko,
Matsumoto Ikuko
Publication year - 2009
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-009-0144-0
Subject(s) - medicine , pancreaticoduodenectomy , general surgery , laparoscopic surgery , laparoscopy , surgery , biliary disease , resection
Abstract Introduction Although laparoscopic colorectal or gastric surgery has become widely accepted as a superior alternative to conventional open surgery, the surgical management of hepato‐biliary‐pancreatic disease has traditionally involved open surgery. Recently, many reports have described laparoscopic partial liver resection, lateral segmentectomy, and distal pancreatectomy. However, laparoscopic major hepato‐biliary‐pancreatic surgery, such as hepatic lobectomy and pancreaticoduodenectomy, has not been widely developed because of technical difficulties. Methods We describe our experience with laparoscopic major hepato‐biliary‐pancreatic surgery, including right hepatectomy using hilar Glissonean pedicle transaction, and pylorus‐preserving pancreaticoduodenectomy. Conclusion Although our experience is limited, and randomized study is necessary to elucidate the appropriate indications for and effects of the present procedures, we believe that laparoscopic major hepato‐biliary‐pancreatic surgery can be feasible, safe, and effective in highly selected patients, and that it will be one of the standard therapeutic options for carefully selected patients with hepato‐biliary‐pancreatic disease.