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Review
. 2024 Sep;130(4):805-809.
doi: 10.1002/jso.27823. Epub 2024 Aug 13.

Modified laparoscopic transthoracic hepatectomy for upper liver segments: Technique, indications, and early outcomes

Silvio M Torres  1 , Matheus C Prudente  1 , Heber S C Ribeiro  1 , Dante A S M Arra  1 , Alessandro L Diniz  1 , André L Godoy  1 , Igor C Farias  1 , Wilson L Costa Jr  2 , Felipe J F Coimbra  1
Affiliations
Review

Modified laparoscopic transthoracic hepatectomy for upper liver segments: Technique, indications, and early outcomes

Silvio M Torres et al. J Surg Oncol. 2024 Sep.

Abstract

Transthoracic access emerges as an innovative approach to reach lesions in the upper hepatic segments, especially in patients with prior surgeries. This study evaluates transthoracic access for these resections through a retrospective single-center analysis of demographic data, surgical techniques, and postoperative outcomes of 353 liver surgeries, revealing promising results with minimal complications. Transthoracic access and pneumoperitoneum establishment via the transthoracic route, combined with intercostal trocar insertion, offer a viable alternative for minimally invasive liver surgeries.

Keywords: laparoscopic; minimally invasive; transthoracic hepatectomy; upper liver segments.

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References

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