Laparoscopic Management of Small Peripheral Hepatic Focal Lesions

wael salah eldin mansy, morsi mohamed, Mohammed Hashim, Sameh Saber, Ahmed Hamdy, Hossam E Elshafey



Laparoscopic resection of benign and malignant hepatic masses can now be accomplished with relatively low morbidity. This fact has changed the mindset of physicians involved in the diagnosis and management of these lesions and influenced the decision-making process.


Aim: evaluate the indications and efficacy of both laparoscopic liver resection and laparoscopic radiofrequency ablation for small peripheral hepatic focal lesions.


Patients and methods: From January 2015 to March 2018 61 patients with hepatic focal lesions managed at advanced center of Hepato-biliary disease, Zagazig University and National Hepatology & Tropical Medicine Research Institute. Where laparoscopic liver resection (LLR) done in 37 cases. While laparoscopic radiofrequency ablation (LRFA) in 20 cases 4 cases underwent laparoscopic de-roofing.

Results: 33 males and 28 females with mean age 56.81± 10.6 years. 17 patients had postoperative complications. Recurrence occurred in 14 patients of HCC. Mortality occurred in 4 patients of HCC during the 2 years follow-up period.

Conclusion: Laparoscopic liver surgery is an alternative to open surgery in small and peripheral focal lesions. Providing better results and advantages in terms of survival and recurrence.

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