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- 저자 : ( Gs Shetty ) (검색결과 1 건)
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( Young Kyoung You ),( Ho Joong Choi ),( Gun Hyung Na ),( Young Chul Yoon ),( Gs Shetty ),( Dong Goo Kim ) 대한간학회 2012 춘·추계 학술대회 (KASL) Vol.2012 No.1
Background: Single port laparoscopic surgery is slowly but steadily gaining popularity among surgeons performing minimally invasive abdominal surgeries. The aim of the present study is to assess our initial experience with single port laparoscopic liver resection for hepatocellular carcinoma. Methods: Between Mar 2009 and April 2011, 24 patients underwent single port laparoscopic liver resection for hepatocellular carcinoma. Of these, 13 were segmentectomies, 4 were left lateral sectionectomies, 1 was right hepatectomy, 1 was left hepatectomy, and 4 were non-anatomical resections. Results: Median operating time and blood loss were 205 minutes (range 95-545 minutes) and 500 mL (range 100-2,500 mL), respectively. Two procedures were converted to conventional laparoscopic hepatectomy due to instrument length limitations, and four were converted to open surgery. There were no serious intraoperative or postoperative complications in this series. Median postoperative hospital stay was 8.5 days (range 5-16 days). Conclusions: Although the procedure requires a lot of technical expertise added to the skill of liver surgery, single port laparoscopic liver resection for hepatocellular carcinoma seems a feasible approach in a variety of well-selected cases. In spite of the demanding nature of the procedure and the requirement of better instrumentation for single port laparoscopic surgery, the results seem to compare favorably with conventional laparoscopic surgery and open surgery.
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