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Related Experiment Video

Updated: Jul 7, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Laparoscopic versus open left lateral hepatic sectionectomy: A comparative study.

M Abu Hilal1, M J W McPhail, B Zeidan

  • 1Hepatobiliary-Pancreatic and Laparoscopic Surgical Unit, Southampton University Hospital, Southampton, London SO16 6YD, UK. abu_hlal@yahoo.com

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|March 5, 2008
PubMed
Summary
This summary is machine-generated.

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See all related articles

Laparoscopic liver surgery, specifically left lateral sectionectomy (LLS), offers reduced blood loss and shorter hospital stays compared to open procedures. This minimally invasive approach is a viable alternative for liver resections.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Laparoscopic liver surgery adoption has been slow.
  • Left lateral sectionectomy (LLS) is identified as a key procedure for developing laparoscopic expertise.
  • High-volume centers are exploring LLS for laparoscopic transformation.

Purpose of the Study:

  • To compare the safety and efficacy of laparoscopic left lateral sectionectomy (LLLS) versus open left lateral sectionectomy (OLLS).
  • To evaluate operative time, blood loss, hospital stay, resection margins, and complication rates.
  • To assess the learning curve and proficiency gains in LLLS.

Main Methods:

  • A comparative study of 44 patients undergoing either LLLS or OLLS for focal lesions.

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Last Updated: Jul 7, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

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Published on: September 27, 2024

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  • Procedures were performed at Southampton General Hospital.
  • Data collected included operative time, blood loss, post-operative stay, resection margins, and complications.
  • Main Results:

    • LLLS showed significantly reduced intra-operative blood loss (80 ml vs. 470 ml) and shorter hospital stays (3.5 days vs. 7 days) compared to OLLS.
    • Operative times were similar between groups (180 min vs. 155 min).
    • Resection margins and complication rates were comparable, with no conversions or 90-day deaths in the LLLS group. Significant improvements in operative time and hospital stay were observed with increasing LLLS experience.

    Conclusions:

    • LLLS is a safe and effective alternative to OLLS for left lateral sectionectomies.
    • LLLS offers advantages in reduced blood loss and shorter hospital stay without compromising resection success or safety.
    • Further prospective studies are recommended to validate these findings and expand laparoscopic liver surgery.