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HPB Surgery
Volume 2012 (2012), Article ID 148387, 7 pages
http://dx.doi.org/10.1155/2012/148387
Review Article

Laparoscopy in Liver Transplantation: The Future Has Arrived

1Department of General Surgery and Organ Transplantation, Sapienza University of Rome, Umberto I Policlinic of Rome, Viale del Policlinico 155, 00161 Rome, Italy
2Department of Liver Transplantation, University of São Paulo, 01005 010 São Paulo, SP, Brazil

Received 8 May 2012; Accepted 11 July 2012

Academic Editor: Andrea Lauterio

Copyright © 2012 Quirino Lai et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In the last two decades, laparoscopy has revolutionized the field of surgery. Many procedures previously performed with an open access are now routinely carried out with the laparoscopic approach. Several advantages are associated with laparoscopic surgery compared to open procedures: reduced pain due to smaller incisions and hemorrhaging, shorter hospital length of stay, and a lower incidence of wound infections. Liver transplantation (LT) brought a radical change in life expectancy of patients with hepatic end-stage disease. Today, LT represents the standard of care for more than fifty hepatic pathologies, with excellent results in terms of survival. Surely, with laparoscopy and LT being one of the most continuously evolving challenges in medicine, their recent combination has represented an astonishing scientific progress. The intent of the present paper is to underline the current role of diagnostic and therapeutic laparoscopy in patients waiting for LT, in the living donor LT and in LT recipients.