The evolution of the concept of laparoscopic liver resection based on materials of international conciliatory conferences
https://doi.org/10.16931/1995-5464.20203112-122
Abstract
The article presents an analysis of the results of the three most important international consensus conferences on the development, dissemination, assessment of the efficacy and safety of laparoscopic liver resection (2008, 2014 and 2017). An analysis of world experience has demonstrated the slow but steady diffusion of the new technology.
It is proved that the immediate outcomes of laparoscopic liver resection are superior to those for open resections, and the long-term results do not differ in the treatment of the most common oncological and benign liver tumors in selected patients. Unlike laparoscopic surgery of other organs of the abdominal cavity, many issues regarding the technology, safety and reproducibility of the operation did not receive a final solution due to the slower data set and other objective obstacles associated primarily with the complexity of the surgical anatomy of the liver. In this regard, a clear achievement of the expert's work should be considered a clear definition of the strategy for mastering the technology of laparoscopic liver resection, as well as selection of patients to avoid serious errors and discrediting the method. All conferences remained in line with the initially emerging trends, adding more evidence-based research to confirm and refine the capabilities of the technology. There is still a shortage of prospective randomized trials and large national and international registries. Further analysis of experience in this direction will allow us to correct the previously obtained data and more clearly indicate the role and place of laparoscopic liver resection in the arsenal of methods of modern surgical hepatology.
About the Authors
A. M. Petrin
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Aleksandr M. Petrin - Researcher of the Department of Hepatopancreatobiliary Surgery, Loginov Moscow Clinical Scientific Center, Department of Health of Moscow.
Shosse Entuziastov, 86, Moscow, 111123.
Phone: +7-968-774-03-97
D. E. Kovalenko
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Dmitry E. Kovalenko - Researcher of the Department of Hepatopancreatobiliary Surgery, Loginov Moscow Clinical Scientific Center, Department of Health of Moscow.
86, Sh. Entuziastov, Moscow, 111123.
R. B. Alikhanov
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Ruslan B. Alikhanov - Cand. of Sci. (Med.), Head of the Hepatopancreatobiliary Surgery Department, Loginov Moscow Clinical Scientific Center, Department of Health of Moscow.
86, Sh. Entuziastov, Moscow, 111123.
M. G. Efanov
Loginov Moscow Clinical Scientific Center, Department of Health of Moscow
Russian Federation
Russian Federation
Mikhail G. Efanov - Doct. of Sci. (Med.), Head of the Hepatopancreatobiliary Surgery Division, Loginov Moscow Clinical Scientific Center, Department of Health of Moscow.
86, Sh. Entuziastov, Moscow, 111123.
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For citations:
Petrin A.M., Kovalenko D.E., Alikhanov R.B., Efanov M.G. The evolution of the concept of laparoscopic liver resection based on materials of international conciliatory conferences. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2020;25(3):112-122. (In Russ.) https://doi.org/10.16931/1995-5464.20203112-122
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