ISSN: 2161-1025
Tsuyoshi Kobayashi
Japan
Case Report
Single-Incision Laparoscopic Surgery in Liver Resection for Hepatocellular Carcinoma in Compensated Liver Cirrhosis
Author(s): Akihiko Oshita, Hirotaka Tashiro, Hironobu Amano, Tsuyoshi Kobayashi and Hideki Ohdan
Akihiko Oshita, Hirotaka Tashiro, Hironobu Amano, Tsuyoshi Kobayashi and Hideki Ohdan
Background: Although trans-umbilical Single-Incision Laparoscopic Surgery (SILS) has been developing as an alternative to pure laparoscopic surgery or even natural orifice transluminal endoscopic surgery, ten reports of its use have yet been published in relation to liver resection. The aim of this article is to describe the SILS technique of liver resection for hepatocellular carcinoma in patient with compensated liver cirrhosis.
Methods: Through a 4-cm vertical trans-umbilical incision, 3 trocars (1 of 12 mm and 2 of 5 mm) were inserted. The tumor was located in a peripheral lesion of segment 3 in a 34-year-old man with compensated liver cirrhosis. Liver transection was performed using radiofrequency ablation and bipolar coagulation forceps as a precoagulative device and ultrasonically activated coagulating shears under 8-mmHg of carb.. View More»
DOI:
10.4172/2161-1025.1000126