LAPAROSCOPIC ANATOMICAL HEPATIC RESECTION - REPORT OF 4 LEFT LOBECTOMIES FOR SOLID TUMORS

Four patients underwent a laparoscopic left hepatic resection for soli d tumor, two for metastasis from colonic cancer, and two for focal nod ular hyperplasia (final diagnosis), The procedure was performed accord ing to the rules of conventional hepatic surgery and cancer surgery. N o blood transfusion was necessary. No surgical complication occurred, In malignant disease, laparoscopy allows a good staging and the perfor mance of a real no-touch technique; the specimen is removed in a plast ic bag without contact to the abdominal wall, In symptomatic benign di sease the esthetic benefit of the laparoscopic approach is real, In as ymptomatic benign disease, laparoscopy could allow large biopsies in t he case of uncertain diagnosis or dangerous resection, It allows safe resections in the case of small, well-located tumors, This approach re quires sophisticated material and extensive experience in both laparos copy and hepatobiliary surgery.