Table 3.
MiRC for GbC: surgical technique details.
Author, year of publication | Study period | Patients number | Attempted MiRC | Conversion to open RC, rate | Completion/ elective |
Liver resection | LIOUS | Liver transection technique | Type of liver resection | LB thickness | Nodal excision | Port site excision | Nodal excision first | Pringle | CBD resection (patients number) |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cho et al., 2008 [16] | NS | 3 | 3 | 0 | 0/3 | Yes | Yes | Harmonic scalpel, clips | LB | 2 cm | Yes | — | Yes | No | No |
de Aretxabala et al., 2010∗ [17] | 2005–2009 | 18 | 18 | 13/18 | 18/0 | Yes | No | Harmonic scalpel, clips, vascular stapler | LB | NS | Yes | No | Yes | Only if needed | No |
Gumbs and Hoffman, 2010 [18] | NS | 3 | 3 | 0 | 1/2 | Yes | Yes | Harmonic scalpel, bipolar, clips | LB | 3–5 cm | Yes | 1/1 | Yes | No | No |
Gumbs and Hoffman, 2010 [19] | NS | 6 | 6 | 0 | 0/6 | Yes | Yes | Harmonic scalpel, bipolar, clips | LB | 3–5 cm | Yes | — | Yes | No | Yes (1) |
Belli et al., 2011 [25] | 2006–2008 | 4 | 4 | 0 | 4/0 | Yes | NA | NA | Wedge | 2 cm | Yes | Yes | No | Yes | 0 |
Shen et al., 2012£ [20] | 2010-2011 | 5 | 5 | 0 | 2/3 | Yes | No | Harmonic scalpel, electric hook | LB | 2 cm | Yes | No | No | No | No |
Gumbs et al., 2013# [21] | 2005–2011 | 15 | 15 | 1/15 | 5/10 | Yes | Yes | NS | LB& | 1 cm | Yes | No | No | NS | No |
Machado et al., 2015 [15] | 2015 | 1 | 1 | 0 | 1/0 | Yes | No | Bipolar forceps | S4b-5 | — | Yes | No | Yes | No | No |
Yoon et al., 2015 [22] | 2004–2014 | 45 | 32 | 1/32 | 0/32 | Yes | Yes | NS | LB | 2 mmç | Yes | — | No | No | No |
Shirobe and Maruyama, 2015 [23] | 2001–2013 | 11 | 11 | 0 | 7/4 | 6/11∧ | Yes | Harmonic scalpel, BiClamp | LB | 1 cm | Yes | No | Yes | No | Yes (2) |
Agarwal et al., 2015 [26] | 2011–2013 | 24 (versus 46 open) | 24 | 0 | 4/20 | Yes | No | Harmonic scalpel, ultrasonic aspirator | S4b-5 | — | Yes | 4/4 | No | No | No |
Itano et al., 2015# [27] | 2007–2013 | 19 (versus 14 open) | 16 | 0 | 0/16 | Yes | Yes | Harmonic scalpel | LB | 1 cm | Yes | — | No | No | No |
Palanisamy et al., 2016 [24] | 2008–2013 | 14 | 14 | 0 | 0/14 | Yes | No | Harmonic scalpel, ligasure, ultrasonic aspirator | S4b-5 | — | Yes | — | Yes | No | No |
MiRC: minimally invasive radical cholecystectomy, RC: radical cholecystectomy, GbC: gallbladder cancer, LIOUS: laparoscopic intraoperative ultrasonography, LB: liver bed, NS: not specified, and S4b-5: liver segments 4b + 5.
∗Patients who underwent only laparoscopic exploration were excluded from the current analysis.
£Robot-assisted radical cholecystectomies.
#Multicenter retrospective study.
&Two patients underwent extended right hepatectomy.
çData reported in a previous paper from the same study group [28].
∧Liver bed resection not performed if tumor located on the peritoneal side of the gallbladder.