Colorectal cancer is common, and 60% of patients will develop liver metastases over the course of their disease. Over the last two decades, hepatic arterial infusion pump (HAIP) chemotherapy has emerged as an effective and unique form of regional chemotherapy. Traditionally performed as an open operation, minimally invasive (MIS) approaches have been developed to minimize procedure-related morbidity. This paper reviews the indications for HAIP placement, relevant pre- and post-operative considerations, salient operative details in the MIS approach, and common complications related to HAIP placement and chemotherapy.
{"title":"Minimally invasive approaches to hepatic arterial infusion pump placement in metastatic colorectal cancer","authors":"P. Shin, T. Kingham","doi":"10.21037/ls.2019.11.07","DOIUrl":"https://doi.org/10.21037/ls.2019.11.07","url":null,"abstract":"Colorectal cancer is common, and 60% of patients will develop liver metastases over the course of their disease. Over the last two decades, hepatic arterial infusion pump (HAIP) chemotherapy has emerged as an effective and unique form of regional chemotherapy. Traditionally performed as an open operation, minimally invasive (MIS) approaches have been developed to minimize procedure-related morbidity. This paper reviews the indications for HAIP placement, relevant pre- and post-operative considerations, salient operative details in the MIS approach, and common complications related to HAIP placement and chemotherapy.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ls.2019.11.07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46546441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We thank Dr Nitta for his interest in our recent article ‘Perioperative outcomes of laparoscopic minor hepatectomy for hepatocellular carcinoma in the elderly’ and his insightful comments (1).
{"title":"Role of laparoscopic liver resection in the elderly: promising results but more high-level evidence needed","authors":"T. Kabir, B. Goh","doi":"10.21037/LS.2019.03.01","DOIUrl":"https://doi.org/10.21037/LS.2019.03.01","url":null,"abstract":"We thank Dr Nitta for his interest in our recent article ‘Perioperative outcomes of laparoscopic minor hepatectomy for hepatocellular carcinoma in the elderly’ and his insightful comments (1).","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/LS.2019.03.01","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44961588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Application of the CARE guideline as reporting standard in the Laparoscopic Surgery","authors":"","doi":"10.21037/ls.2019.10.03","DOIUrl":"https://doi.org/10.21037/ls.2019.10.03","url":null,"abstract":"","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ls.2019.10.03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48823333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laparoscopic liver resection (LLR) is the most growing liver surgical technique in the last ten years and, initial indications have been overpassed (1). After two consensus conferences, the first guidelines have been proposed and, regarding the hepatocellular carcinoma (HCC) the debate is still open for the surgical indications. However, numerous studies are now published about LLR for HCC.
{"title":"Laparoscopic liver resection for hepatocellular carcinoma, is the size nodule a limitation?","authors":"L. Sandri, G. Battista","doi":"10.21037/LS.2019.01.04","DOIUrl":"https://doi.org/10.21037/LS.2019.01.04","url":null,"abstract":"Laparoscopic liver resection (LLR) is the most growing liver surgical technique in the last ten years and, initial indications have been overpassed (1). After two consensus conferences, the first guidelines have been proposed and, regarding the hepatocellular carcinoma (HCC) the debate is still open for the surgical indications. However, numerous studies are now published about LLR for HCC.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/LS.2019.01.04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49566123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Colorectal cancer (CRC) is one of the most common cancers ranking third in the USA in cancer related deaths. Approximately 25–50% of patients with CRC have liver metastases upon initial presentation (1). Surgical resection provides the best chance for long-term survival for colorectal liver metastasis (CRLM) including laparoscopic and open hepatectomy.
{"title":"Should we do laparoscopic resection for synchronous stage IV colorectal cancer?","authors":"C. Kaltenmeier, S. Tohme, D. Geller","doi":"10.21037/ls.2019.08.05","DOIUrl":"https://doi.org/10.21037/ls.2019.08.05","url":null,"abstract":"Colorectal cancer (CRC) is one of the most common cancers ranking third in the USA in cancer related deaths. Approximately 25–50% of patients with CRC have liver metastases upon initial presentation (1). Surgical resection provides the best chance for long-term survival for colorectal liver metastasis (CRLM) including laparoscopic and open hepatectomy.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ls.2019.08.05","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47165841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Capsule endoscopy is a frequently used method to evaluate the small bowel, especially in patients with chronic anemia after the upper and lower endoscopies are non-diagnostic. The rate of retention as defined as >2 weeks without passing the capsule is reported in the literature around 1–3% (Liao, 2010). For retained capsules, they can still pass spontaneously if allowed more time but occasionally require retrieval with push enteroscopy. For those infrequent cases that cannot be retrieved with endoscopy, a laparoscopic small bowel resection should be considered as it is both diagnostic and therapeutic. We will describe a case report, brief literature review and some pitfalls and pearls for retained capsule endoscopy using a laparoscopic fluoroscopy-guided small bowel resection.
{"title":"Case report: laparoscopic-assisted small bowel resection for retained capsule endoscopy using flouroscopy","authors":"A. Jensen, Toshio Nagamoto","doi":"10.21037/ls.2019.09.01","DOIUrl":"https://doi.org/10.21037/ls.2019.09.01","url":null,"abstract":"Capsule endoscopy is a frequently used method to evaluate the small bowel, especially in patients with chronic anemia after the upper and lower endoscopies are non-diagnostic. The rate of retention as defined as >2 weeks without passing the capsule is reported in the literature around 1–3% (Liao, 2010). For retained capsules, they can still pass spontaneously if allowed more time but occasionally require retrieval with push enteroscopy. For those infrequent cases that cannot be retrieved with endoscopy, a laparoscopic small bowel resection should be considered as it is both diagnostic and therapeutic. We will describe a case report, brief literature review and some pitfalls and pearls for retained capsule endoscopy using a laparoscopic fluoroscopy-guided small bowel resection.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42567994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We thank Dr. August and Dr. Visser for their interest and comments regarding our study on the feasibility of minimal-invasive procedures to treat lesions in the posterosuperior segments of the liver (1). As appropriately pointed out, the inclusion of patients undergoing major hepatectomy for a lesion in the posterosuperior segments limits the ability to evaluate the technical difficulties one is likely to encounter when performing isolated posterosuperior segmentectomy.
{"title":"Reply to letter: “Laparoscopic liver resection in cirrhosis: the challenge of the posterosuperior segments”","authors":"P. Haber, A. Kästner, J. Pratschke, M. Schmelzle","doi":"10.21037/ls.2019.09.02","DOIUrl":"https://doi.org/10.21037/ls.2019.09.02","url":null,"abstract":"We thank Dr. August and Dr. Visser for their interest and comments regarding our study on the feasibility of minimal-invasive procedures to treat lesions in the posterosuperior segments of the liver (1). As appropriately pointed out, the inclusion of patients undergoing major hepatectomy for a lesion in the posterosuperior segments limits the ability to evaluate the technical difficulties one is likely to encounter when performing isolated posterosuperior segmentectomy.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43771400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Q. Lai, F. Curci, Anna Di Tomaso, M. Castrovillari, Zoe Larghi Laureiro, M. Rossi
The hepatic hemangioma (HH) represents an extremely common liver disease, however not requiring in the great majority of cases any kind of management. In peculiar cases, observation should be considered. Surgery is anecdotal, mainly in light of the evidence that spontaneous or post-traumatic rupture represent rare conditions. Surgery is indicated only in peculiar conditions, like the presence of abdominal pain otherwise not explicable, and the complications of HH. In this uncommon condition, the mini-invasive approach should play a relevant role, mainly in consideration of the fact that HH represents a benign condition. Consequently, a less invasive approach appears to be coherent in this field. Approximately 500 cases of laparoscopic surgery/locoregional therapy have been reported so far, showing promising results. Even more anecdotal are the reported cases of robotic resection. Only 10 cases of robotic surgery for HH have been reported. Therefore, it is impossible to give definitive conclusions on the role of robotic surgery in this field. When the mini-invasive approach is chosen as the first-step technique to use for the cure of a patient, surgery should be done exclusively in high-volume centers specialized in mini-invasive surgery.
{"title":"Mini-invasive treatment of hepatic hemangioma: new efforts for an uncommon task","authors":"Q. Lai, F. Curci, Anna Di Tomaso, M. Castrovillari, Zoe Larghi Laureiro, M. Rossi","doi":"10.21037/ls.2019.09.07","DOIUrl":"https://doi.org/10.21037/ls.2019.09.07","url":null,"abstract":"The hepatic hemangioma (HH) represents an extremely common liver disease, however not requiring in the great majority of cases any kind of management. In peculiar cases, observation should be considered. Surgery is anecdotal, mainly in light of the evidence that spontaneous or post-traumatic rupture represent rare conditions. Surgery is indicated only in peculiar conditions, like the presence of abdominal pain otherwise not explicable, and the complications of HH. In this uncommon condition, the mini-invasive approach should play a relevant role, mainly in consideration of the fact that HH represents a benign condition. Consequently, a less invasive approach appears to be coherent in this field. Approximately 500 cases of laparoscopic surgery/locoregional therapy have been reported so far, showing promising results. Even more anecdotal are the reported cases of robotic resection. Only 10 cases of robotic surgery for HH have been reported. Therefore, it is impossible to give definitive conclusions on the role of robotic surgery in this field. When the mini-invasive approach is chosen as the first-step technique to use for the cure of a patient, surgery should be done exclusively in high-volume centers specialized in mini-invasive surgery.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ls.2019.09.07","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47722191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yasushi Hasegawa, H. Nitta, T. Takahara, Hirokatsu Katagiri, A. Sasaki
We have read the article by Moris et al ., titled “Laparoscopic synchronous resection of colorectal cancer and liver metastases: A systematic review” published in the Journal of Surgical Oncology (1). We had considerable interest in their analyses on the outcomes of laparoscopic simultaneous resection (LSR) for colorectal cancer (CRC) and colorectal cancer liver metastases (CRCLM). Their study concluded that LSR is a safe and feasible approach compared to open simultaneous resection (OSR), for selected patients with synchronous CRCLM. On the other hand, they also stated that the number of patients included in the study was very small, and therefore the conclusion was considerably restricted.
我们已经阅读了Moris et al .发表在Journal of Surgical Oncology(1)上的题为“腹腔镜同步切除结直肠癌和肝转移:A systematic review”的文章。我们对他们对腹腔镜同步切除(LSR)治疗结直肠癌(CRC)和结直肠癌肝转移(CRCLM)的结果的分析非常感兴趣。他们的研究得出结论，对于选择的同步CRCLM患者，与开放式同时切除(OSR)相比，LSR是一种安全可行的方法。另一方面，他们也表示，纳入研究的患者数量非常少，因此结论受到很大限制。
{"title":"Is laparoscopic simultaneous resection for colorectal cancer and synchronous liver metastases safe and useful?","authors":"Yasushi Hasegawa, H. Nitta, T. Takahara, Hirokatsu Katagiri, A. Sasaki","doi":"10.21037/ls.2019.08.06","DOIUrl":"https://doi.org/10.21037/ls.2019.08.06","url":null,"abstract":"We have read the article by Moris et al ., titled “Laparoscopic synchronous resection of colorectal cancer and liver metastases: A systematic review” published in the Journal of Surgical Oncology (1). We had considerable interest in their analyses on the outcomes of laparoscopic simultaneous resection (LSR) for colorectal cancer (CRC) and colorectal cancer liver metastases (CRCLM). Their study concluded that LSR is a safe and feasible approach compared to open simultaneous resection (OSR), for selected patients with synchronous CRCLM. On the other hand, they also stated that the number of patients included in the study was very small, and therefore the conclusion was considerably restricted.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ls.2019.08.06","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43846127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The development and adaptation of robotic-assisted surgery has provided surgeons and patients with several benefits over laparoscopic surgery. This technology allows for improved dexterity, three-dimensional binocular vision, reduced operative fatigue, improved ergonomics from the console-surgeon interface, and stabilization of tremor during surgery.
{"title":"Learning curve and pitfalls in establishing a new robotic liver surgery program","authors":"A. Hamad, A. Tsung, A. Ejaz","doi":"10.21037/ls.2019.09.04","DOIUrl":"https://doi.org/10.21037/ls.2019.09.04","url":null,"abstract":"The development and adaptation of robotic-assisted surgery has provided surgeons and patients with several benefits over laparoscopic surgery. This technology allows for improved dexterity, three-dimensional binocular vision, reduced operative fatigue, improved ergonomics from the console-surgeon interface, and stabilization of tremor during surgery.","PeriodicalId":92818,"journal":{"name":"Laparoscopic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.21037/ls.2019.09.04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44973853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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