Small incision, big surgeon: Laparoscopic liver resection for tumors without a doubt: Comment on 'Laparoscopic Liver Resection for Malignant and Benign Lesions: Ten-Year Norwegian Single-Center Experience'.

摘要

During a 10-year period, this group has accumulated and studied carefully data on 139 patients who underwent laparoscopic hepa-tectomies, a large series according to laparoscopic standards. Most (81.3%) underwent operation for malignant neoplasms, chiefly colorectal metastases, with satisfactory operative times and reasonable complication rates. The myth of increased venous gas emboli from laparoscopy is shattered. The median hospital stay of 3 days is an improvement over standard open traditional hepatectomies. The 5-year survival of 46% is admirable and compares favorably with established numbers from the open laparoscopy literature.