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Vol. 25, No. 4, 2008
Issue release date: October 2008
Section title: How I Do It
Dig Surg 2008;25:305–308
(DOI:10.1159/000155222)

Laparoscopic Left Lateral Liver Sectionectomy: A Safe, Efficient, Reproducible Technique

Abu Hilal M. · Pearce N.W.
Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, UK

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Article / Publication Details

First-Page Preview
Abstract of How I Do It

Published online: 9/11/2008

Number of Print Pages: 4
Number of Figures: 5
Number of Tables: 1

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU

Abstract

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.


  

Author Contacts

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
E-Mail abu_hlal@yahoo.com

  

Article Information

Published online: September 11, 2008
Number of Print Pages : 4
Number of Figures : 5, Number of Tables : 1, Number of References : 14

  

Publication Details

Digestive Surgery

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


Article / Publication Details

First-Page Preview
Abstract of How I Do It

Published online: 9/11/2008

Number of Print Pages: 4
Number of Figures: 5
Number of Tables: 1

ISSN: 0253-4886 (Print)
eISSN: 1421-9883 (Online)

For additional information: http://www.karger.com/DSU


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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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