Varied application of intercostal trans-diaphragmatic ports for laparoscopic hepatectomy.

ABSTRACT:

Background

The ribcage and diaphragm are mechanical barriers for laparoscopic access during hepatectomy. Here, we introduce the varied application of intercostal trans-diaphragmatic ports during laparoscopic hepatectomy, and describe the management of intercostal ports with key technical points.

Methods

From January 2013 to December 2017, 180 patients underwent laparoscopic hepatectomy. In 32 of these patients (17.8%), intercostal ports (31 right and one left) were applied, and we analyzed the feasibility and safety of intercostal ports during laparoscopic hepatectomy.

Results

The main tumor location was segment VII and VIII (78%). The major type of laparoscopic hepatectomy was partial hepatectomy (91%). In the majority of cases (66%) the number and size of intercosta

SUBMITTER: Hayashi H 

PROVIDER: S-EPMC7304607 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature