Resumo
With the improvement of laparoscopic techniques, endoscopic liver surgery has become feasible. While laparoscopic wedge liver resection are performed more frequently, laparoscopic (anatomical or nonanatomical) liver resection are still at an early stage of development and are somewhat controversial. We reporte laparoscopic hepatic resection without use of sophisticated laparoscopic instruments. A 47-year-old woman underwent radical mastectomy for adenocarcinoma in 1995. 1n the postoperative follow-up presented, a lesion in the left hepatic lobe and, after laparoscopic approach, left lateral segmentectomy was performed. The hepatic resection elapsed without complications. The surgical time was 4 hours and the blood loss was minimal, without transfusion being necessary.The abdominal drain was removed in 24 hours and the patient was discharged in the second postoperative day. Compared to the classic approach by laparotomy, this method was less traumatic, required a shorter hospital stay, and followed by faster recovery.
Laparoscopic hepatectomy; Laparoscopic segmentectomy; Liver tumors
Laparoscopic hepatectomy; Laparoscopic segmentectomy; Liver tumors
RELATOS DE CASO
Hepatectomia regrada por videolaparoscopia
Ruled hepatectomy by videolaparoscopy
Antonio Nocchi Kalil, TCBC-RSI; Rafael GiovenardII; Spencer Marcantônio CamargoIII
IProfessor Adjunto-Doutor do Departamento de Cirurgia da FFFCMPA. Diplome D'Université de Cirurgia Hepato-Biliar e Transplante Hepático da Universidade de Paris XI
IICirurgião Geral
IIIResidente do Departamento de Cirurgia da FFFCMPA/ISCMPA
Endereço para correspondência Endereço para correspondência: Dr. Antonio Nocchi Kalil Praça Maurício Cardoso, 170/402 90570-010 - Porto Alegre - RS
ABSTRACT
With the improvement of laparoscopic techniques, endoscopic liver surgery has become feasible. While laparoscopic wedge liver resection are performed more frequently, laparoscopic (anatomical or nonanatomical) liver resection are still at an early stage of development and are somewhat controversial. We reporte laparoscopic hepatic resection without use of sophisticated laparoscopic instruments. A 47-year-old woman underwent radical mastectomy for adenocarcinoma in 1995. 1n the postoperative follow-up presented, a lesion in the left hepatic lobe and, after laparoscopic approach, left lateral segmentectomy was performed. The hepatic resection elapsed without complications. The surgical time was 4 hours and the blood loss was minimal, without transfusion being necessary.The abdominal drain was removed in 24 hours and the patient was discharged in the second postoperative day. Compared to the classic approach by laparotomy, this method was less traumatic, required a shorter hospital stay, and followed by faster recovery.
Key words: Laparoscopic hepatectomy; Laparoscopic segmentectomy; Liver tumors.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 30/10/97
Aceito para publicação em 11/5/98
Trabalho realizado no Departamento de Cirurgia da Fundação Faculdade Federal de Ciências Médicas de Porto Alegre (FFFCMPA) e Irmandade Santa Casa de Misericórdia de Porto Alegre (ISCMPA).
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- 4. Wayand W, Woisetschlager R. Laparoskopische resektion einer lebermetastase. Der Chirurg 1993; 64:197-197.
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Datas de Publicação
-
Publicação nesta coleção
23 Jul 2010 -
Data do Fascículo
Ago 1998
Histórico
-
Recebido
30 Out 1997 -
Aceito
11 Maio 1998
