Modified laparoscopic transthoracic hepatectomy for upper liver segments: Technique, indications, and early outcomes

Author:

Torres Silvio M.1ORCID,Prudente Matheus C.1,Ribeiro Heber S. C.1ORCID,Arra Dante A. S. M.1ORCID,Diniz Alessandro L.1,Godoy André L.1,Farias Igor C.1,Costa Wilson L.2ORCID,Coimbra Felipe J. F.1

Affiliation:

1. Department of Abdominal Surgery A. C. Camargo Cancer Center São Paulo Brazil

2. Department of Medicine, Epidemiology, and Population Sciences Dan L Duncan Comprehensive, Cancer Center, Baylor College of Medicine Houston Texas USA

Abstract

AbstractTransthoracic access emerges as an innovative approach to reach lesions in the upper hepatic segments, especially in patients with prior surgeries. This study evaluates transthoracic access for these resections through a retrospective single‐center analysis of demographic data, surgical techniques, and postoperative outcomes of 353 liver surgeries, revealing promising results with minimal complications. Transthoracic access and pneumoperitoneum establishment via the transthoracic route, combined with intercostal trocar insertion, offer a viable alternative for minimally invasive liver surgeries.

Publisher

Wiley

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