J Minim Invasive Surg.  2021 Dec;24(4):182-183. 10.7602/jmis.2021.24.4.182.

How to minimize conversion to open surgery during laparoscopic liver resection: the point of view of hemostasis

Affiliations
  • 1Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea

Abstract

It has been 30 years since laparoscopic liver resection was first introduced, and, in the beginning, wedge resection or nonanatomical liver resection was mainly performed. With the development of surgical techniques and instruments, many centers are currently performing major liver resections and even difficult anatomical liver resections such as segment VI, VII, and VIII and caudate segment. However, laparoscopic surgery has limitations in instrument manipulation, and due to the nature of liver resection surgery, massive bleeding may occur. Therefore, it is necessary to make efforts to minimize the bleeding and reduce the conversion to laparotomy due to bleeding.

Keyword

Laparoscopy; Hepatectomy; Hemostasis; Conversion to open surgery
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