Laparoscopic right posterior sectionectomy: single-center experience and technical aspects

• Published in: Langenbeck's archives of surgery Vol. 404; no. 1; pp. 21 - 29
• Main Authors: D’Hondt, Mathieu, Ovaere, Sander, Knol, Joep, Vandeputte, Mathieu, Parmentier, Isabelle, De Meyere, Celine, Vansteenkiste, Franky, Besselink, Marc, Pottel, Hans, Verslype, Chris
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.02.2019
• Subjects: Abdominal Surgery; Adult; Aged; Blood Loss, Surgical; Carcinoma, Hepatocellular - pathology; Carcinoma, Hepatocellular - surgery; Cardiac Surgery; Feasibility Studies; Female; General Surgery; Hepatectomy - adverse effects; Hepatectomy - methods; Humans; Laparoscopy - adverse effects; Laparoscopy - methods; Length of Stay; Liver Neoplasms - pathology; Liver Neoplasms - surgery; Male; Medicine; Medicine & Public Health; Middle Aged; Operative Time; Original Article; Patient Positioning; Postoperative Complications - epidemiology; Retrospective Studies; Thoracic Surgery; Traumatic Surgery; Vascular Surgery; Laparoscopy; Techniques; Hepatobiliary surgery; Posterosuperior segments; Glissonean approach
• ISSN: 1435-2443; 1435-2451
• DOI: 10.1007/s00423-018-1731-9

Purpose Laparoscopic right posterior sectionectomy (LRPS) is a technically demanding procedure. The aim of this article is to share our experience with LRPS and to highlight technical aspects of this procedure. Methods This is a single-center retrospective analysis of all patients who underwent LRPS between September 2011 and October 2017. Data were retrieved from a prospectively maintained database. Video-in-picture (VIP) technology is used to facilitate and to highlight the technical aspects of this procedure. Results In total, 18 patients underwent LRPS. Indication for surgery was mainly liver metastases ( n  = 11) and hepatocellular carcinoma ( n  = 6). The Glissonean approach for inflow control was used in 13 patients. Median operative time was 162 (140–190) minutes. Median blood loss was 325 mL (IQR: 150–450). One conversion (5.5%) was required. There were two minor complications and one major complication. Median hospital stay was 6 days (range 5–8 days). All patients had an R0 resection. There was no 90-day mortality. Conclusion The results of our experience in LRPS add weight to the feasibility and safety of this approach.