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Updated: Aug 7, 2026
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Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
Published on: October 6, 2023
Total laparoscopic right posterior sectionectomy for hepatocellular carcinoma
Yoo-Seok Yoon1, Ho-Seong Han, Yoo Shin Choi
1Department of Surgery, College of Medicine, Seoul National University, Seoul, Korea.
Summary
This study reports the first total laparoscopic right posterior sectionectomy for hepatocellular carcinoma in liver segments 6 and 7. The minimally invasive procedure resulted in successful resection and no recurrence at 12 months.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Procedures
- Surgical Oncology
Background:
- Hepatocellular carcinoma (HCC) is a primary liver cancer.
- Surgical resection is a curative option for resectable HCC.
- Laparoscopic liver resections are increasingly adopted for complex cases.
Observation:
- A 57-year-old male presented with a 5-cm hepatoma in liver segments 6 and 7.
- Computed tomography confirmed the solitary nodular lesion.
- The patient underwent a total laparoscopic right posterior sectionectomy.
Findings:
- The procedure involved selective Glissonian pedicle control for anatomical demarcation.
- Complete resection with a 1-cm free margin was achieved.
- The patient experienced an uncomplicated recovery and was discharged on postoperative day 13.
Implications:
- This case demonstrates the feasibility and safety of laparoscopic approach for posterior section liver resections.
- Minimally invasive techniques may offer advantages for treating HCC in challenging locations.
- Further research can explore the long-term outcomes of this technique in a larger cohort.
