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Related Experiment Video

Updated: Jun 21, 2026

Application of Hemostatic Devices in Laparoscopic Hepatectomy
04:23

Application of Hemostatic Devices in Laparoscopic Hepatectomy

Published on: April 19, 2022

Bleeding and hemostasis in laparoscopic liver surgery.

Mohammad Abu Hilal1, Tim Underwood, Matthew G Taylor

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

Surgical Endoscopy
|July 18, 2009
PubMed
Summary

Totally laparoscopic liver resections are safe and effective for major procedures when performed by experienced surgeons. Advanced techniques are crucial for managing bleeding and ensuring successful outcomes in minimally invasive liver surgery.

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Utility of the Iwate Difficulty Scoring System for the Stratification of Laparoscopic Right Hepatectomies: An International Multicenter Study.

Journal of hepato-biliary-pancreatic sciences·2026

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Minimally invasive liver resection is increasingly accepted globally.
  • Laparoscopic liver surgery is often limited to smaller resections due to concerns about blood loss.
  • Advancements in surgical techniques and technology are essential for expanding laparoscopic liver surgery.

Purpose of the Study:

  • To present a single center's 4.5-year experience with totally laparoscopic liver resections.
  • To highlight techniques developed to minimize blood loss during these procedures.

Main Methods:

  • Retrospective analysis of 80 patients undergoing totally laparoscopic liver surgery between 2003 and 2007.
  • Procedures included resections for various benign and malignant conditions.

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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

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Last Updated: Jun 21, 2026

Application of Hemostatic Devices in Laparoscopic Hepatectomy
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Published on: April 19, 2022

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

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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

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  • Data analyzed for operative time, blood loss, hospital stay, and morbidity.

    • Main Results:

    • Median operative time was 150 minutes; median blood loss was 120 ml.
    • Significantly higher blood loss occurred in right-sided compared to left-sided resections (821 vs 147 ml).
    • No deaths, two intraoperative transfusions, eight complications, one bile leak, and a median hospital stay of 3 days.

    Conclusions:

    • Totally laparoscopic liver resections are safe and effective for major procedures in experienced hands.
    • Thorough knowledge of available technology and hemorrhage management techniques is vital for surgeons.
    • This approach facilitates successful outcomes in minimally invasive liver surgery.