Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions
Background and Objectives. The feasibility and safety of single-port laparoscopic surgery for left lateral liver lobectomy are largely unknown. This study is aimed at comparing the effectiveness and safety between single-port laparoscopic (SPL) and conventional multiport laparoscopic (CL) surgeries...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2019/1570796 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562578736283648 |
|---|---|
| author | Yuan Cheng Ze-sheng Jiang Xiao-ping Xu Wen-fa Huang Guo-lin He Chen-jie Zhou Jia-sheng Qin Yi Gao Ming-xin Pan |
| author_facet | Yuan Cheng Ze-sheng Jiang Xiao-ping Xu Wen-fa Huang Guo-lin He Chen-jie Zhou Jia-sheng Qin Yi Gao Ming-xin Pan |
| author_sort | Yuan Cheng |
| collection | DOAJ |
| description | Background and Objectives. The feasibility and safety of single-port laparoscopic surgery for left lateral liver lobectomy are largely unknown. This study is aimed at comparing the effectiveness and safety between single-port laparoscopic (SPL) and conventional multiport laparoscopic (CL) surgeries for hepatic left lateral sectionectomy. Methods. A total of 65 patients receiving laparoscopic hepatic left lateral sectionectomy between January 2008 and July 2015 were included and divided into the SPL group (n=40) and the CL group (n=25). Results. There was no significant difference in the operative time, estimated intraoperative blood loss, length of hospital stay, and incidences of postoperative complications (biliary leakage, hemorrhage, and contusion at incision) between groups (all P>0.05). However, the SPL group had a significantly lower VAS pain score (at 24 h but not 7 days postoperation) and higher cosmetic satisfaction scores (at both 2 months and 6 months postoperation) than the CL group (all P<0.01). Moreover, multivariate linear regression analysis further confirmed the superior pain score and cosmetic outcome in the SPL group. Conclusions. Single-port laparoscopic hepatic left lateral sectionectomy is a safe and feasible treatment for patients with lesions in the left hepatic lobe. Patients with benign lesions in the left hepatic lobe are more suitable to receive single-port laparoscopic hepatic left lateral sectionectomy than those with malignancies. |
| format | Article |
| id | doaj-art-018a24f561b6456083cbc6ed961c9b6d |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-018a24f561b6456083cbc6ed961c9b6d2025-02-03T01:22:16ZengWileyGastroenterology Research and Practice1687-61211687-630X2019-01-01201910.1155/2019/15707961570796Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver LesionsYuan Cheng0Ze-sheng Jiang1Xiao-ping Xu2Wen-fa Huang3Guo-lin He4Chen-jie Zhou5Jia-sheng Qin6Yi Gao7Ming-xin Pan8Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaSecond College of Clinical Medicine, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaDepartment of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong Province, ChinaBackground and Objectives. The feasibility and safety of single-port laparoscopic surgery for left lateral liver lobectomy are largely unknown. This study is aimed at comparing the effectiveness and safety between single-port laparoscopic (SPL) and conventional multiport laparoscopic (CL) surgeries for hepatic left lateral sectionectomy. Methods. A total of 65 patients receiving laparoscopic hepatic left lateral sectionectomy between January 2008 and July 2015 were included and divided into the SPL group (n=40) and the CL group (n=25). Results. There was no significant difference in the operative time, estimated intraoperative blood loss, length of hospital stay, and incidences of postoperative complications (biliary leakage, hemorrhage, and contusion at incision) between groups (all P>0.05). However, the SPL group had a significantly lower VAS pain score (at 24 h but not 7 days postoperation) and higher cosmetic satisfaction scores (at both 2 months and 6 months postoperation) than the CL group (all P<0.01). Moreover, multivariate linear regression analysis further confirmed the superior pain score and cosmetic outcome in the SPL group. Conclusions. Single-port laparoscopic hepatic left lateral sectionectomy is a safe and feasible treatment for patients with lesions in the left hepatic lobe. Patients with benign lesions in the left hepatic lobe are more suitable to receive single-port laparoscopic hepatic left lateral sectionectomy than those with malignancies.http://dx.doi.org/10.1155/2019/1570796 |
| spellingShingle | Yuan Cheng Ze-sheng Jiang Xiao-ping Xu Wen-fa Huang Guo-lin He Chen-jie Zhou Jia-sheng Qin Yi Gao Ming-xin Pan Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions Gastroenterology Research and Practice |
| title | Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions |
| title_full | Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions |
| title_fullStr | Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions |
| title_full_unstemmed | Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions |
| title_short | Single-Port Laparoscopic Surgery Is Feasible and Safe for Hepatic Left Lateral Sectionectomy for Benign Liver Lesions |
| title_sort | single port laparoscopic surgery is feasible and safe for hepatic left lateral sectionectomy for benign liver lesions |
| url | http://dx.doi.org/10.1155/2019/1570796 |
| work_keys_str_mv | AT yuancheng singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT zeshengjiang singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT xiaopingxu singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT wenfahuang singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT guolinhe singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT chenjiezhou singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT jiashengqin singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT yigao singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions AT mingxinpan singleportlaparoscopicsurgeryisfeasibleandsafeforhepaticleftlateralsectionectomyforbenignliverlesions |