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Updated: Jun 20, 2026

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
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Laparoscopic versus open liver resection: a matched-pair case control study.

Kaori Ito1, Hiromichi Ito, Chandrakanth Are

  • 1Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10065, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|September 4, 2009
PubMed
Summary
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Laparoscopic liver resection (LLR) offers benefits like reduced recovery time and complications compared to open liver resection (OLR). Further randomized trials are needed to confirm these advantages for selected patients.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Laparoscopic liver resection (LLR) is gaining popularity, but its advantages over open liver resection (OLR) require validation.
  • Comparative studies are essential to establish the benefits of LLR.

Purpose of the Study:

  • To compare perioperative and oncologic outcomes between LLR and matched-pair open liver resections (OLR).
  • To evaluate the feasibility and efficacy of LLR in a clinical setting.

Main Methods:

  • A retrospective analysis of 65 patients undergoing attempted LLR (1998-2008), with 52 completed laparoscopically.
  • Matched-pair analysis comparing LLR cases with OLR cases performed before 1998 based on patient and tumor characteristics.
  • Comparison of perioperative outcomes (blood loss, morbidity, hospital stay) and oncologic outcomes (margins, recurrence).

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Main Results:

  • LLR demonstrated significant reductions in blood loss, transfusion rates, Pringle maneuver use, postoperative morbidity, recovery time, hospital stay, and incisional hernia incidence.
  • No positive surgical margins or local recurrence were observed in patients with malignant tumors in either group.
  • Oncologic outcomes, including recurrence patterns, were similar between LLR and OLR groups.

Conclusions:

  • LLR is a feasible surgical option for well-selected patients, maintaining comparable operative and oncologic outcomes to OLR.
  • While LLR shows potential benefits, definitive proof requires evidence from randomized controlled trials.