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Related Experiment Video

Updated: Jun 4, 2026

Application of Hemostatic Devices in Laparoscopic Hepatectomy
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Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

Is laparoscopic repeat hepatectomy feasible? A tri-institutional analysis.

Zahra Shafaee1, Airazat M Kazaryan, Michael R Marvin

  • 1Department of Digestive Diseases, Institut Mutualiste Montsouris, University Paris V, Paris, France.

Journal of the American College of Surgeons
|February 1, 2011
PubMed
Summary

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Laparoscopic repeat liver resections (LRLR) are feasible and safe, offering good oncologic outcomes. Patients with prior laparoscopic surgery experienced better results than those with open surgery.

Area of Science:

  • Minimally invasive surgery
  • Hepatobiliary surgery
  • Surgical oncology

Background:

  • Laparoscopic repeat liver resection (LRLR) is not widely adopted.
  • This study evaluates the feasibility, safety, and outcomes of LRLR across three institutions.
  • Focuses on patients undergoing repeat liver resections via a laparoscopic approach.

Purpose of the Study:

  • To assess the feasibility and safety of laparoscopic repeat liver resection (LRLR).
  • To evaluate the oncologic integrity and patient outcomes of LRLR.
  • To compare outcomes between patients with prior open versus laparoscopic liver resections.

Main Methods:

  • Retrospective analysis of 76 LRLR cases performed since 1997.
  • Indications included metastasis, hepatocellular carcinoma, and benign tumors.

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Last Updated: Jun 4, 2026

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  • Compared outcomes based on previous open versus laparoscopic liver resection history.

    • Main Results:

    • 11% conversion rate to open surgery or ablation due to technical issues.
    • R0 resection achieved in 91% of malignant tumor cases.
    • No significant difference in postoperative complications or hospital stay between prior open and laparoscopic groups, though prior open surgery correlated with higher blood loss and transfusion needs.

    Conclusions:

    • Laparoscopic repeat liver resection is a safe and effective procedure.
    • Good oncologic outcomes and survival rates were observed, especially in patients with prior laparoscopic resections.
    • LRLR is a viable option for select patients requiring repeat liver surgery.