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Minerva Chirurgica 2015 December;70(6):429-36

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Minimally-invasive surgery for liver metastases

Gouda B. ^{1, 2}, Massol J. ^{1, 2}, Fuks D. ^{1, 2}, Gayet B. ^{1, 2} ✉

¹ Department of Digestive Disease, Institut Mutualiste Montsouris, Paris, France; ² Paris Descartes University, Paris, France

The practice of laparoscopic liver surgery has developed gradually, and most liver resections seem currently feasible and safe for selected patients in centers where surgeons are experienced both in liver surgery and in laparoscopic surgery. However, further studies would be required, especially for long-term oncological results and for major hepatectomy follow-up, before laparoscopic hepatectomy becomes a common alternative to open liver surgeries. Laparoscopic major hepatectomy is a recent technique, due to its significant complexity. In this review, we showed that patients undergoing laparoscopic hepatectomy for liver metastases experienced decreased rates of overall and major postoperative complications without any compromise on long-term outcomes compared to patients treated by open resection.