Current status of laparoscopic liver resection in Korea

• Published in: Journal of Korean medical science 2012, 27(7), 166, pp.767-771
• Main Authors: Park, Joon Seong, Han, Ho-Seong, Hwang, Dae Wook, Yoon, Yoo-Seok, Cho, Jai Young, Koh, Yang-Seok, Kwon, Choon Hyuck David, Kim, Kyung Sik, Kim, Sang Bum, Kim, Young Hoon, Kim, Hyung Chul, Chu, Chong Woo, Lee, Dong Shik, Kim, Hong-Jin, Park, Sang Jae, Han, Sung-Sik, Song, Tae Jin, Ahn, Young Joon, Yoo, Yung Kyung, Yu, Hee Chul, Yoon, Dong Sup, Lee, Min-Koo, Lee, Hyeon Kook, Min, Seog Ki, Jeong, Chi-Young, Hong, Soon-Chan, Choi, In Seok, Hur, Kyung Yul
• Format: Article
• Language: English
• Subjects: Hepatectomy - statistics & numerical data; Humans; Laparoscopy - statistics & numerical data; Liver - surgery; Liver Diseases - pathology; Liver Diseases - surgery; Liver Neoplasms - pathology; Liver Neoplasms - surgery; Original; Postoperative Complications - epidemiology; Republic of Korea; Surveys and Questionnaires; 의학일반
• ISSN: 1011-8934; 1598-6357
• DOI: 10.3346/jkms.2012.27.7.767

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.