Usefulness of Laparoscopy-Assisted Liver Resections: A Single-Center Experience

Abstract

Introduction:

Pure laparoscopic liver resection became the gold-standard practice for minor anterolateral liver resections and left lateral sectionectomy. ^1,2 However, major hepatectomies, multiple resections, and resection of nodules located in posterosuperior segments of the liver are still challenging. ^{2 –4} The development of laparoscopy-assisted (hybrid) liver surgery occurred in order to overcome the limits faced by total laparoscopic approach and therefore expand the availability and increase the safety of minimally invasive surgery. ^5,6

Objective:

To evaluate the applicability, safety, and feasibility of laparoscopy-assisted liver resections.

Method:

From a prospective database, short- and long-term results of 33 patients who underwent hybrid liver resections were evaluated.

Results:

The mean age was 53.3 years and 19 patients were female. Malignant disease was present in 84.8% of all cases. Forty-three resections were performed (range 1–4 nodules per patient). Resection of posterosuperior segments, major hepatectomies, and multiple resections corresponded to 69.8% of this case series. The average size of resected nodules was 3.0 cm and 97% of surgical margins were free. The mean hospital stay was 6.3 days, and the postoperative complication incidence was 21.2% with no per operative mortality.

Conclusion:

Laparoscopy-assisted liver resection is a feasible, safe, and reproducible approach. It should be part of liver surgeons' armamentarium.

No disclosures for any authors.

Runtime of video: 2 mins 16 secs