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Updated: Jul 5, 2026

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Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Laparoscopic segment VI liver resection using a left lateral decubitus position: a personal modified technique
Giulio Belli1, Corrado Fantini, Alberto D'Agostino
1Department of General and Hepato-Pancreato-Biliary Surgery, S.M. Loreto Nuovo Hospital, Via A. Vespucci, 80142, Naples, Italy. chirurgia.loretonuovo@tin.it
Summary
This study details a laparoscopic liver resection for segment VI tumors using a specific patient position. The technique offers a novel approach for right-sided liver lesions, with advantages and disadvantages discussed.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgical techniques
- Laparoscopic liver resection
Background:
- Laparoscopic liver resection is established for left-sided lesions.
- Optimal laparoscopic approaches for right-sided liver lesions, including segment VI, remain debated.
Purpose of the Study:
- To describe a personal technique for laparoscopic segment VI liver resection.
- To evaluate the feasibility and potential benefits of this approach.
Main Methods:
- Laparoscopic segment VI liver resection performed in a left lateral decubitus position (right side up).
- Detailed description of the surgical steps and instrumentation.
- Discussion of potential advantages and disadvantages.
Main Results:
- The described technique facilitates laparoscopic access to segment VI liver lesions.
- Potential benefits include improved visualization and maneuverability.
- Potential disadvantages require further investigation.
Conclusions:
- This technique provides a viable laparoscopic option for segment VI liver resection.
- Further studies are warranted to compare outcomes with other approaches.

