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Open Access Gold möglich sobald Verlagsversion bei der ZB eingereicht worden ist.
Minimalinvasive Chirurgie primärer und sekundärer Lebertumoren.
Minimally invasive surgery of primary and secondary liver tumors : Indications, techniques and results
Chirurg 85, 689-695 (2014)
BACKGROUND: Initially, mainly superficial liver lesions were resected laparoscopically but now even major resections are performed using a minimally invasive procedure. Careful selection of suitable patients is of key importance. AIMS AND METHODS: This article describes the current state of the art in patient selection and choice of the appropriate laparoscopic technique based on a review of the recent literature. Perioperative and oncological outcome parameters of laparoscopic liver resection are presented. RESULTS: Laparoscopic liver resection offers significant benefits compared to open liver resection in terms of reduced intraoperative blood loss, reduced overall and liver-specific complications and length of hospital stay without compromising oncological outcomes. CONCLUSION: Lesions in the peripheral anterolateral segments (segments 2, 3, 4b, 5 and 6) are particularly suitable for laparoscopic liver resection. Access to the posterosuperior segments 1, 4a, 7 and 8 is more challenging but safe and feasible in experienced centers.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
ISSN (print) / ISBN
0009-4722
Quellenangaben
Band: 85,
Heft: 8,
Seiten: 689-695
Verlag
Berufsverband der Deutschen Chirurgen
Institut(e)
Institute of Pancreatic Islet Research (IPI)