Related Experiment Video
Updated: Jul 13, 2026
Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
One hundred liver resections: improved outcome in a tertiary care center in Lebanon
Roger Noun1, Chadi Salloum, Smart Zeidan
1Department of Digestive Surgery, Hôtel-Dieu de France Hospital, Beirut, Lebanon. rnoun@wise.net.lb
Background:
Recent reports highlight the reduced mortality and morbidity rates of liver resection in the last decades. The authors report on the surgical techniques and perioperative management that have yielded a low mortality and morbidity rates.
Methods:
One hundred consecutive liver resections carried out from 1997 to 2005 were reviewed. Data were collected retrospectively.
Results:
The indications for liver resection were malignant tumors in 73%. Major liver resection was performed in 52%. Overall, 42.5% of liver resections were performed without vascular clamping and 57% of liver resections were performed without blood transfusions. There was no intraoperative death and the overall mortality rate was 1%. The major complications rate was 28% and was related to the extent of resection. The mean length of hospital stay was 12 days.
Conclusion:
The current series shows that with accurate preoperative evaluation, standardization of the surgical technique, appropriate use of vascular clamping method, and vigilant postoperative monitoring, an in-hospital mortality of 1% was achieved in a series where more than 50% of patients underwent a major hepatectomy.
