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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
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Laparoscopic hepatectomy for patients who received enterostomy
Bao Jin1, Shunda Du1, Haifeng Xu1
1Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and PUMC, Beijing, China.
Journal of Minimal Access Surgery
|August 15, 2018
Summary
Laparoscopic hepatectomy is feasible for liver metastases in patients with colorectal cancer and enterostomy. This minimally invasive approach offers good post-operative recovery, though further research is needed.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Hepatobiliary Surgery
Background:
- Laparoscopic hepatectomy promotes faster patient recovery than open surgery.
- Laparoscopic liver resection for metastases in enterostomy patients remains underreported.
Purpose of the Study:
- To assess the feasibility of laparoscopic hepatectomy for liver metastases in patients with prior colorectal cancer surgery and enterostomy.
Main Methods:
- Retrospective review of three patients undergoing laparoscopic hepatectomy for liver metastases post-colorectal cancer surgery and enterostomy (Dec 2016 - Apr 2017).
- Literature review on surgical techniques for managing abdominal adhesions related to stoma sites.
Main Results:
- All three patients experienced successful laparoscopic hepatectomy with good post-operative recovery.
- Varied stoma positions and associated intra-abdominal adhesions were identified.
- Potential surgical techniques were summarized based on findings.
Conclusions:
- Laparoscopic hepatectomy is a viable surgical option for patients with colorectal cancer and enterostomy requiring liver metastasis resection.
- Further investigation is warranted to fully evaluate the safety and efficacy of this approach.
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