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Table of Contents
Vol. 25, No. 4, 2008
Issue release date: October 2008
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.
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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.



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References

  1. Vibert E, Perniceni T, Levard H, Denet C, Shahri NK, Gayet B: Laparoscopic liver resection. Br J Surg 2006;93:67–72.
  2. Cherqui D, Husson E, Hammoud R, et al: Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 2000;232:753–762.
  3. O’Rourke N, Fielding G: Laparoscopic right hepatectomy: surgical technique. J Gastrointest Surg 2004;8:213–216.
  4. Lesurtel M, Cherqui D, Laurent A, Tayar C, Fagniez PL: Laparoscopic versus open left lateral hepatic lobectomy: a case-control study. J Am Coll Surg 2003;196:236–242.
  5. Belli G, Fantini C, D’Agostino A, Belli A, Langella S: Laparoscopic hepatic resection for completely exophytic hepatocellular carcinoma on cirrhosis. J Hepatobiliary Pancreat Surg 2005;12:488–493.
  6. Chang S, Laurent A, Tayar C, Karoui M, Cherqui D: Laparoscopy as a routine approach for left lateral sectionectomy. Br J Surg 2007;94:58–63.
  7. Kaneko H, Takagi S, Shiba T: Laparoscopic partial hepatectomy and left lateral segmentectomy: technique and results of a clinical series. Surgery 1996;120:468–475.
  8. Azagra JS, Goergen M, Gilbart E, Jacobs D: Laparoscopic anatomical (hepatic) left lateral segmentectomy – technical aspects. Surg Endosc 1996;10:758–761.
  9. Huscher CG, Lirici MM, Chiodini S: Laparoscopic liver resections. Semin Laparosc Surg 1998;5:204–210.
  10. Samama G, Chiche L, Brefort JL, Le RY: Laparoscopic anatomical hepatic resection. Report of four left lobectomies for solid tumors. Surg Endosc 1998;12:76–78.
  11. Borzellino G, Ruzzenente A, Minicozzi AM, Giovinazzo F, Pedrazzani C, Guglielmi A: Laparoscopic hepatic resection. Surg Endosc 2006;20:787–790.
  12. Champault A, Dagher I, Vons C, Franco D: Laparoscopic hepatic resection for hepatocellular carcinoma: retrospective study of 12 patients. Gastroenterol Clin Biol 2005;29:969–973.
  13. Berends FJ, Meijer S, Prevoo W, Bonjer HJ, Cuesta MA: Technical considerations in laparoscopic liver surgery. Surg Endosc 2001;15:794–798.
  14. Abu Hilal M, McPhail MJ, Zeidan S, Hallam MJ, Armstrong T, Primrose JN, Pearce NW: Laparoscopic versus open left lateral hepatic sectionectomy: a comparative study. Eur J Surg Oncol 2008 (in press).


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