Video assisted resections. Increasing access to minimally invasive liver surgery?

Detalhes bibliográficos
Autor(a) principal: Coelho,Fabricio Ferreira
Data de Publicação: 2015
Outros Autores: Perini,Marcos Vinícius, Kruger,Jaime Arthur Pirola, Lupinacci,Renato Micelli, Makdissi,Fábio Ferrari, D'Albuquerque,Luiz Augusto Carneiro, Cecconello,Ivan, Herman,Paulo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista do Colégio Brasileiro de Cirurgiões
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000600318
Resumo: Objective: To evaluate perioperative outcomes, safety and feasibility of video-assisted resection for primary and secondary liver lesions. Methods : From a prospective database, we analyzed the perioperative results (up to 90 days) of 25 consecutive patients undergoing video-assisted resections in the period between June 2007 and June 2013. Results : The mean age was 53.4 years (23-73) and 16 (64%) patients were female. Of the total, 84% were suffering from malignant diseases. We performed 33 resections (1 to 4 nodules per patient). The procedures performed were non-anatomical resections (n = 26), segmentectomy (n = 1), 2/3 bisegmentectomy (n = 1), 6/7 bisegmentectomy (n = 1), left hepatectomy (n = 2) and right hepatectomy (n = 2). The procedures contemplated postero-superior segments in 66.7%, requiring multiple or larger resections. The average operating time was 226 minutes (80-420), and anesthesia time, 360 minutes (200-630). The average size of resected nodes was 3.2 cm (0.8 to 10) and the surgical margins were free in all the analyzed specimens. Eight percent of patients needed blood transfusion and no case was converted to open surgery. The length of stay was 6.5 days (3-16). Postoperative complications occurred in 20% of patients, with no perioperative mortality. Conclusion : The video-assisted liver resection is feasible and safe and should be part of the liver surgeon armamentarium for resection of primary and secondary liver lesions.
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spelling Video assisted resections. Increasing access to minimally invasive liver surgery?Liver NeoplasmsHepatectomyLaparoscopyVideo-Assisted Surgery Objective: To evaluate perioperative outcomes, safety and feasibility of video-assisted resection for primary and secondary liver lesions. Methods : From a prospective database, we analyzed the perioperative results (up to 90 days) of 25 consecutive patients undergoing video-assisted resections in the period between June 2007 and June 2013. Results : The mean age was 53.4 years (23-73) and 16 (64%) patients were female. Of the total, 84% were suffering from malignant diseases. We performed 33 resections (1 to 4 nodules per patient). The procedures performed were non-anatomical resections (n = 26), segmentectomy (n = 1), 2/3 bisegmentectomy (n = 1), 6/7 bisegmentectomy (n = 1), left hepatectomy (n = 2) and right hepatectomy (n = 2). The procedures contemplated postero-superior segments in 66.7%, requiring multiple or larger resections. The average operating time was 226 minutes (80-420), and anesthesia time, 360 minutes (200-630). The average size of resected nodes was 3.2 cm (0.8 to 10) and the surgical margins were free in all the analyzed specimens. Eight percent of patients needed blood transfusion and no case was converted to open surgery. The length of stay was 6.5 days (3-16). Postoperative complications occurred in 20% of patients, with no perioperative mortality. Conclusion : The video-assisted liver resection is feasible and safe and should be part of the liver surgeon armamentarium for resection of primary and secondary liver lesions.Colégio Brasileiro de Cirurgiões2015-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912015000600318Revista do Colégio Brasileiro de Cirurgiões v.42 n.5 2015reponame:Revista do Colégio Brasileiro de Cirurgiõesinstname:Colégio Brasileiro de Cirurgiões (CBC)instacron:CBC10.1590/0100-69912015005009info:eu-repo/semantics/openAccessCoelho,Fabricio FerreiraPerini,Marcos ViníciusKruger,Jaime Arthur PirolaLupinacci,Renato MicelliMakdissi,Fábio FerrariD'Albuquerque,Luiz Augusto CarneiroCecconello,IvanHerman,Pauloeng2015-12-02T00:00:00Zoai:scielo:S0100-69912015000600318Revistahttp://www.scielo.br/rcbcONGhttps://old.scielo.br/oai/scielo-oai.php||revistacbc@cbc.org.br1809-45460100-6991opendoar:2015-12-02T00:00Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)false
dc.title.none.fl_str_mv Video assisted resections. Increasing access to minimally invasive liver surgery?
title Video assisted resections. Increasing access to minimally invasive liver surgery?
spellingShingle Video assisted resections. Increasing access to minimally invasive liver surgery?
Coelho,Fabricio Ferreira
Liver Neoplasms
Hepatectomy
Laparoscopy
Video-Assisted Surgery
title_short Video assisted resections. Increasing access to minimally invasive liver surgery?
title_full Video assisted resections. Increasing access to minimally invasive liver surgery?
title_fullStr Video assisted resections. Increasing access to minimally invasive liver surgery?
title_full_unstemmed Video assisted resections. Increasing access to minimally invasive liver surgery?
title_sort Video assisted resections. Increasing access to minimally invasive liver surgery?
author Coelho,Fabricio Ferreira
author_facet Coelho,Fabricio Ferreira
Perini,Marcos Vinícius
Kruger,Jaime Arthur Pirola
Lupinacci,Renato Micelli
Makdissi,Fábio Ferrari
D'Albuquerque,Luiz Augusto Carneiro
Cecconello,Ivan
Herman,Paulo
author_role author
author2 Perini,Marcos Vinícius
Kruger,Jaime Arthur Pirola
Lupinacci,Renato Micelli
Makdissi,Fábio Ferrari
D'Albuquerque,Luiz Augusto Carneiro
Cecconello,Ivan
Herman,Paulo
author2_role author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Coelho,Fabricio Ferreira
Perini,Marcos Vinícius
Kruger,Jaime Arthur Pirola
Lupinacci,Renato Micelli
Makdissi,Fábio Ferrari
D'Albuquerque,Luiz Augusto Carneiro
Cecconello,Ivan
Herman,Paulo
dc.subject.por.fl_str_mv Liver Neoplasms
Hepatectomy
Laparoscopy
Video-Assisted Surgery
topic Liver Neoplasms
Hepatectomy
Laparoscopy
Video-Assisted Surgery
description Objective: To evaluate perioperative outcomes, safety and feasibility of video-assisted resection for primary and secondary liver lesions. Methods : From a prospective database, we analyzed the perioperative results (up to 90 days) of 25 consecutive patients undergoing video-assisted resections in the period between June 2007 and June 2013. Results : The mean age was 53.4 years (23-73) and 16 (64%) patients were female. Of the total, 84% were suffering from malignant diseases. We performed 33 resections (1 to 4 nodules per patient). The procedures performed were non-anatomical resections (n = 26), segmentectomy (n = 1), 2/3 bisegmentectomy (n = 1), 6/7 bisegmentectomy (n = 1), left hepatectomy (n = 2) and right hepatectomy (n = 2). The procedures contemplated postero-superior segments in 66.7%, requiring multiple or larger resections. The average operating time was 226 minutes (80-420), and anesthesia time, 360 minutes (200-630). The average size of resected nodes was 3.2 cm (0.8 to 10) and the surgical margins were free in all the analyzed specimens. Eight percent of patients needed blood transfusion and no case was converted to open surgery. The length of stay was 6.5 days (3-16). Postoperative complications occurred in 20% of patients, with no perioperative mortality. Conclusion : The video-assisted liver resection is feasible and safe and should be part of the liver surgeon armamentarium for resection of primary and secondary liver lesions.
publishDate 2015
dc.date.none.fl_str_mv 2015-10-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0100-69912015005009
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dc.publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
publisher.none.fl_str_mv Colégio Brasileiro de Cirurgiões
dc.source.none.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões v.42 n.5 2015
reponame:Revista do Colégio Brasileiro de Cirurgiões
instname:Colégio Brasileiro de Cirurgiões (CBC)
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instname_str Colégio Brasileiro de Cirurgiões (CBC)
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reponame_str Revista do Colégio Brasileiro de Cirurgiões
collection Revista do Colégio Brasileiro de Cirurgiões
repository.name.fl_str_mv Revista do Colégio Brasileiro de Cirurgiões - Colégio Brasileiro de Cirurgiões (CBC)
repository.mail.fl_str_mv ||revistacbc@cbc.org.br
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