Abordaje laparoscópico por incisión única del hígado izquierdo: experiencia inicial |
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Authors: | Judith Camps Lasa Esteban Cugat Andorrà Eric Herrero Fonollosa María Isabel García Domingo Raquel Sánchez Martínez Harold Vargas Pierola Aurora Rodríguez Campos |
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Institution: | 1. Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España;2. Servicio de Anestesiología y Reanimación, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España |
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Abstract: | IntroductionNew technological advances have enabled the development of single-port laparoscopic surgery. This approach began with cholecystectomy and subsequently with other abdominal surgeries. However, few publications on laparoscopic liver surgery have described the use of complete single-port access. We present our initial experience of a single-port laparoscopic hepatectomy.Material and methodsBetween May 2012 and December 2013, 5 single-port laparoscopic hepatectomies were performed: one for benign disease and four for colorectal liver metastases. The lesions were approached through a 3-5 cm right supraumbilical incision using a single-port access device. All the lesions were located in hepatic segments II or III. Four left lateral sectorectomies and one left hepatectomy were performed.ResultsMedian operative time was 135 min. No cases were converted to conventional laparoscopic or open surgery. The oral intake began at 18 h. There were no postoperative complications and no patients required blood transfusion. The median hospital stay was 3 days. The degree of satisfaction was very good in 4 cases and good in one. Patients resumed their normal daily activities at 8 days.DiscussionSingle-port laparoscopic hepatectomy is safe and feasible in selected cases and may reduce surgical aggression and offer better cosmetic results. Comparative studies are needed to determine the real advantages of this approach. |
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Keywords: | Cirugí a hepá tica laparoscó pica Cirugí a hepá tica por incisió n ú nica Cirugí a por puerto ú nico |
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