Laparoscopic surgery of focal lesions of the liver

In this work the laparoscopic surgical approach of two benignant hepatic lesions (focal nodular hyperplasia [1st case], and hepatic cyst with simultaneous cholecystolithiasis [2nd case]) will be discussed. The authors present the steps of the laparoscopic procedures: non-anatomical liver resection in the first, resection and cholecystectomy in the latter case. During the operations no surgical complications occurred, the postoperative course was also uneventful. The patients were discharged in the fifth day after the surgery, without any complains. During a short follow-up period, our patients were asymptomatic and free of recurrences. In our opinion, the laparoscopic hepatic surgery might be a feasible technique in the hands of surgeons with hepatic and laparoscopic experience, but careful selection criteria should be followed in the selection of such cases.