Laparoscopic Left Lateral Liver Sectionectomy: A Safe, Efficient, Reproducible TechniqueAbu Hilal M. · Pearce N.W.
Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, UK
Background: Laparoscopic left lateral sectionectomy (LLLS) is procedure with potential for future transformation into a primarily laparoscopic procedure where surgeons can safely develop laparoscopic experience and gain proficiency. Methods: Between August 2004 and December 2007, 80 patients underwent laparoscopic liver resections in our unit, 30 of these were left lateral sectionectomies. The indications for surgery were both oncological and non-oncological. Results: 30 LLLS were performed. Median operative time and median postoperative hospital stay group were 180 (40–340) min and 4 (1–6) days, respectively, and were noted to fall significantly between the first (15 patients) and second parts of this series. The median free resection margin was 11 (1.5–30) mm and median perioperative blood loss was 80 (25–800) ml. Two minor complications were observed with no mortality and no conversions to open. Conclusion: LLLS is a feasible, safe and efficient procedure, associated with a quick, smooth learning curve. We report our technique illustrating methods and particulars which would be of great help to surgeons developing new laparoscopic liver services.
Mr. M. Abu-Hilal
Hepatobiliary and Pancreatic Surgical Unit, Southampton University Hospital
Tremona Road, Southampton SO16 6YD (UK)
Tel. +44 238 079 6796, Fax +44 238 079 6620
Published online: September 11, 2008
Number of Print Pages : 4
Number of Figures : 5, Number of Tables : 1, Number of References : 14
Vol. 25, No. 4, Year 2008 (Cover Date: October 2008)
Journal Editor: Büchler M.W. (Heidelberg), Neoptolemos J.P. (Liverpool)
ISSN: 0253–4886 (Print), eISSN: 1421–9883 (Online)
For additional information: http://www.karger.com/DSU