Volume 130, Issue 4 pp. 805-809
REVIEW ARTICLE

Modified laparoscopic transthoracic hepatectomy for upper liver segments: Technique, indications, and early outcomes

Silvio M. Torres MD

Corresponding Author

Silvio M. Torres MD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

Correspondence Silvio M. Torres MD and Matheus C. Prudente MD, Rua Prof. Antônio Prudente, 211, Liberdade, São Paulo, SP, CEP 01509-010, Brazil.

Email: [email protected], [email protected] and [email protected]

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Matheus C. Prudente MD

Corresponding Author

Matheus C. Prudente MD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

Correspondence Silvio M. Torres MD and Matheus C. Prudente MD, Rua Prof. Antônio Prudente, 211, Liberdade, São Paulo, SP, CEP 01509-010, Brazil.

Email: [email protected], [email protected] and [email protected]

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Heber S. C. Ribeiro MD, MSc, PhD

Heber S. C. Ribeiro MD, MSc, PhD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

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Dante A. S. M. Arra MD

Dante A. S. M. Arra MD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

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Alessandro L. Diniz MD, MSc

Alessandro L. Diniz MD, MSc

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

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André L. Godoy MD

André L. Godoy MD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

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Igor C. Farias MD

Igor C. Farias MD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

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Wilson L. Costa Jr. MD, MPH, PhD

Wilson L. Costa Jr. MD, MPH, PhD

Department of Medicine, Epidemiology, and Population Sciences, Dan L Duncan Comprehensive, Cancer Center, Baylor College of Medicine, Houston, Texas, USA

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Felipe J. F. Coimbra MD, Msc, PhD

Felipe J. F. Coimbra MD, Msc, PhD

Department of Abdominal Surgery, A. C. Camargo Cancer Center, São Paulo, Brazil

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First published: 13 August 2024

Abstract

Transthoracic access emerges as an innovative approach to reach lesions in the upper hepatic segments, especially in patients with prior surgeries. This study evaluates transthoracic access for these resections through a retrospective single-center analysis of demographic data, surgical techniques, and postoperative outcomes of 353 liver surgeries, revealing promising results with minimal complications. Transthoracic access and pneumoperitoneum establishment via the transthoracic route, combined with intercostal trocar insertion, offer a viable alternative for minimally invasive liver surgeries.

CONFLICT OF INTEREST STATEMENT

The authors declare no conflict of interest.

DATA AVAILABILITY STATEMENT

The data are available on request due to privacy/ethical restrictions. The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to privacy or ethical restrictions.

The full text of this article hosted at iucr.org is unavailable due to technical difficulties.