J Korean Med Sci.  2012 Jul;27(7):767-771. 10.3346/jkms.2012.27.7.767.

Current Status of Laparoscopic Liver Resection in Korea

• Park JS
• Han HS
• Hwang DW
• Yoon YS
• Cho JY
• Koh YS
• Kwon CH
• Kim KS
• Kim SB
• Kim YH
• Kim HC
• Chu CW
• Lee DS
• Kim HJ
• Park SJ
• Han SS
• Song TJ
• Ahn YJ
• Yoo YK
• Yu HC
• Yoon DS
• Lee MK
• Lee HK
• Min SK
• Jeong CY
• Hong SC
• Choi IS
• Hur KY

• KMID: 2157921
• DOI: http://doi.org/10.3346/jkms.2012.27.7.767

Abstract

Since laparoscopic liver resection was first introduced in 2001, Korean surgeons have chosen a laparoscopic procedure as one of the treatment options for benign or malignant liver disease. We distributed and analyzed a nationwide questionnaire to members of the Korean Laparoscopic Liver Surgery Study Group (KLLSG) in order to evaluate the current status of laparoscopic liver resection in Korea. Questionnaires were sent to 24 centers of KLLSG. The questionnaire consisted of operative procedure, histological diagnosis of liver lesions, indications for resection, causes of conversion to open surgery, and postoperative outcomes. A laparoscopic liver resection was performed in 416 patients from 2001 to 2008. Of 416 patients, 59.6% had malignant tumors, and 40.4% had benign diseases. A total laparoscopic approach was performed in 88.7%. Anatomical laparoscopic liver resection was more commonly performed than non-anatomical resection (59.9% vs 40.1%). The anatomical laparoscopic liver resection procedures consisted of a left lateral sectionectomy (29.3%), left hemihepatectomy (19.2%), right hemihepatectomy (6%), right posterior sectionectomy (4.3%), central bisectionectomy (0.5%), and caudate lobectomy (0.5%). Laparoscopy-related serious complications occurred in 12 (2.8%) patients. The present study findings provide data in terms of indication, type and method of liver resection, and current status of laparoscopic liver resection in Korea.

Keyword

Laparoscopic Liver Resection; Laparoscopy; Anatomical Liver Resection; Liver Diseases; HCC

MeSH Terms

*Hepatectomy/statistics & numerical data
Humans
*Laparoscopy/statistics & numerical data
Liver/*surgery
Liver Diseases/pathology/surgery
Liver Neoplasms/pathology/surgery
Postoperative Complications/epidemiology
Questionnaires
Republic of Korea

Figure

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  Fig. 1 Exponential growth of laparoscopic liver resection in Korea from 2001 to 2008.

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  Fig. 2 Indication for laparoscopic liver resection.

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  Fig. 3 Type of laparoscopic liver resection.

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