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Related Experiment Video

Updated: Jun 12, 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

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Laparoscopic vs open left hepatectomy for hepatolithiasis.

Jin-Fu Tu1, Fei-Zhao Jiang, Heng-Liang Zhu

  • 1Department of Laparoscopic Surgery, the First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang Province, China.

World Journal of Gastroenterology
|June 10, 2010
PubMed
Summary

Total laparoscopic left hepatectomy (LLH) is a feasible and safe option for hepatolithiasis, offering comparable therapeutic effects to open surgery. This minimally invasive approach reduces hospital stay time for patients.

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Area of Science:

  • Hepatobiliary surgery
  • Minimally invasive surgery
  • Gastroenterology

Background:

  • Hepatolithiasis, or intrahepatic stones, presents significant management challenges.
  • Traditional open hepatectomy carries risks of morbidity and prolonged recovery.
  • Laparoscopic techniques are increasingly explored for complex liver resections.

Purpose of the Study:

  • To assess the feasibility and therapeutic outcomes of total laparoscopic left hepatectomy (LLH) for hepatolithiasis.
  • To compare LLH with traditional open left hepatectomy (OLH) in terms of safety and efficacy.

Main Methods:

  • A retrospective analysis of 61 patients with hepatolithiasis treated between June 2006 and October 2009.
  • 28 patients underwent LLH, while 33 underwent OLH.

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Last Updated: Jun 12, 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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Published on: April 11, 2025

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  • Comparison of operative time, blood loss, complications, hospital stay, and stone clearance rates.

    • Main Results:

    • LLH was successfully performed in 28 patients, with a longer operative time but shorter hospital stay compared to OLH.
    • No significant differences were observed in intraoperative blood loss, postoperative complication rates, or stone residual rates.
    • Follow-up showed comparable stone recurrence rates between LLH and OLH groups, with no perioperative deaths.

    Conclusions:

    • Total laparoscopic left hepatectomy is a feasible and safe surgical option for selected patients with hepatolithiasis.
    • LLH demonstrates equivalent therapeutic efficacy to open hepatectomy for this condition.
    • The minimally invasive nature of LLH contributes to a reduced postoperative hospital stay.