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Related Experiment Video

Updated: Jun 7, 2026

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
07:22

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

Published on: April 11, 2025

Single-incision laparoscopic liver resection.

Sébastien Gaujoux1, T Peter Kingham, William R Jarnagin

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

Surgical Endoscopy
|October 27, 2010
PubMed
Summary
This summary is machine-generated.

Single-port-access liver resection is feasible and safe for select patients. This minimally invasive approach shows promise for reducing abdominal trauma in liver surgery.

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Last Updated: Jun 7, 2026

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Area of Science:

  • Minimally Invasive Surgery
  • Hepatobiliary Surgery
  • Surgical Oncology

Background:

  • Laparoscopic liver surgery is established, but single-port-access (SPA) surgery aims to further reduce abdominal wall trauma.
  • SPA has been applied to various abdominal procedures, but not previously reported for liver resection.

Observation:

  • Five patients underwent SPA liver procedures: one cyst fenestration and four liver resections (three left, one wedge).
  • Procedures utilized a single 40-mm Gelport, with liver transection via LigaSure, staplers, or microwave ablation.
  • All procedures were completed without supplemental ports.

Findings:

  • Operative times ranged from 55 to 140 minutes with minimal blood loss (20-50 ml).
  • All patients had a single 50-mm incision, uneventful postoperative courses, and were discharged on postoperative day 2.

Implications:

  • SPA liver resection appears technically feasible and safe for specific left-sided resections.
  • Further research is needed to validate this technique and explore its applicability to right-sided liver resections.