Application of stapling devices in liver surgery: Current status and future prospects

Table 1 Demographics and interventions of 218 reported cases with single incision laparoscopic liver resection

Ref.	No. of cases	Lesion type								Intervention1
		Hepatic cysts	Hydatid disease of liver	FNH	CRC	HCC	Hepatic adenoma	Liver hemangioma	Others	Fenestration	Wedge resection	Segmentectomy	Left lateral sectionectomy	Others
Weiss et al[23], (2015)	21			4	6	1		2	8 (1 abscess, 1 Caroli syndrome, 2 cholangiocellular cancer, 4 malignant metastasis from neuroendocrine tumor, gastric cancer, prostatic cancer or esophageal cancer)		111	2	9
Igami et al[24], (2015)	1	1								1
Willems et al[25], (2015)	1	1								1
Hu et al[26], (2014)1	18			2			3	7	6 (Hepatolithiasis)				18
Machado et al[27], (2014)	8			1			6		1 (cholangiocarcinoma)				8
Mantke et al[28], (2010)	1	1								1
Tan et al[29], (2012)	7				22	4	2				2		5
Gaujoux et al[30], (2011)	5	1			2	1			1 (Ovarian serous carcinoma liver metastasis)	1	4
Sasaki et al[31], (2010)	1	1								1
Toyama et al[32], (2013)	1								1 (Hepatocellular- cholangiocarcinoma)		1
Shetty et al[33], (2012)	243					24					4	13	4	1 LH, 1 RH
Soni et al[34], (2011)	1		1											Percutaneous hydatid cystectomy
Wu et al[35], (2014)	17			1	2	4	2	6	2 (Hepatolithiasis)		8		9
Camps Lasa et al[36], (2014)	5		1		4								4	1 LH
Zhao et al[37], (2011)	12			3		2	1	6			8		4
Pan et al[38], (2012)	8	2			1	4		1			2	3	3
Chen et al[39], (2013)	1							1			1
Tayar et al[40], (2014)	7				2	2	3				7
Kandil et al[41], (2013)	2				1		1						2
Kim et al[42], (2014)	3					3						2	1
Cipriani et al[43], (2012)	14			3	3	5		2	1 (Peripheric cholangiocarcinoma)		1		13
Tzanis et al[44], (2014)	3			1		1	1				2		1
Patel et al[45], (2011)	1				1								1
Dapri et al[46], (2012)	6	3	2		1					3	1	1	1
Wu et al[47], (2014)	15	15								15
Zhang et al[48], (2011)	4	4								4
Barbaros et al[49], (2010)	1						1				1
Kashiwagi et al[50], (2011)	1	1								1
Røsok et al[51], (2011)	1				1						1
Aikawa et al[52], (2012)	8				1	5		1	1 (Neuroendocrine tumor)			8
Chinnusamy et al[53], (2013)	1	1								1
Choi et al[54], (2013)	2	2								2
Imamura et al[55], (2013)	1	1								1
Eryılmaz et al[56], (2014)	1		1									1
Belli et al[57], (2011)	1					1					1
Gocho et al[58], (2013)	6	6								6
Cai et al[59], (2012)	5	5								5
Kobayashi et al[60], (2010)	1					1					1
Karabicak et al[61], (2013)	1		1								1
Cai et al[62], (2010)	1							1			1

¹One patient was converted to multiport laparoscopy, and the related data was not included in the article;

²One case with a 3-mm metastatic adenocarcinoma of colorectal origin found in postoperative diagnosis after HCC resection including a double- segment wedge resection;

³The detailed medical record of one patient was not available. CRC: Colorectal liver metastases; FNH: Focal nodular hyperplasia; HCC: Hepatocellular carcinoma; LH: Left hemihepatectomy; RH: Right hemihepatectomy.

Table 2 Application of stapling devices in single incision laparoscopic left lateral liver sectionectomy

Ref.	No. of cases with left lateral liver sectionectomy	Application of stapling devices		Average or mean operation time, min	Average intraoperative blood loss, mL
		Glisson sheath	Hepatic veins
Weiss et al[23]	9	(-)	(-)	-	-
Hu et al[26]	18	(+)	(+)	105 ± 23	75 ± 18
Machado et al[27]	8	(+)	(+)	68	< 100
Tan et al[29]	5	(+)	(+)	133.6 ± 29.5	230.0 ± 148.3
Shetty et al[33]	4	(-)	(+)	193.8 ± 50.0	487.5 ± 201.6
Wu et al[35]	9	(+)	(+)	205.6 ± 233.2	133.3 ± 49.4
Camps Lasa et al[36]	4	(-)	(+)	138.8 ± 28.4	-
Zhao et al[37]	4	(+)	(+)	107.5 ± 17.1	262.5 ± 359.1
Pan et al[38]	3	(+)	(+)	101.0 ± 27.6	78.3 ± 25.7
Kandil et al[41]	2	(+)	(-)	60.5 ± 13.4	22.5 ± 10.6
Kim et al[42]	1	(+)	(-)	228	250
Cipriani et al[43]	13	(+)	(+)	195 (125-330)	175 (100-220)
Tzanis et al[44]	1	(-)	(+)	110	50
Patel et al[45]	1	(+)	(+)	-	-
Dapri et al[46]	1	(-)	(-)	96	350