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Updated: Jun 5, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
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Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

Laparoscopic liver resections.

Alfred Cuschieri1

  • 1Professor of Surgery, Scuola Superiore di Studi Universitari, Pisa, Italy.

Journal of Minimal Access Surgery
|December 29, 2010
PubMed
Summary
This summary is machine-generated.

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Laparoscopic liver resections offer reduced blood loss and lower morbidity compared to open surgery. Hand-assisted techniques may improve safety and execution, especially for major right liver resections.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Laparoscopic liver resections are gaining traction globally.
  • Conventional open liver surgery has associated risks like significant blood loss and postoperative morbidity.

Purpose of the Study:

  • To review the advantages of laparoscopic liver resections over open approaches.
  • To describe the techniques and technologies enabling laparoscopic hepatic resections.
  • To detail the operative steps for laparoscopic liver resections.

Main Methods:

  • Review of laparoscopic liver resection techniques, including totally laparoscopic and hand-assisted approaches.
  • Discussion of enabling technologies such as laparoscopic ultrasound, linear cutting staplers, ultrasonic dissection, LigaSure, and TissueLink.
Keywords:
hepatic tumourlaparoscopyliver resection

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  • Description of operative steps for laparoscopic liver resections.

    • Main Results:

    • Laparoscopic liver resections, particularly left hepatectomy, demonstrate reduced operative blood loss.
    • Major postoperative morbidity is lower with laparoscopic liver resections compared to open procedures.
    • Hand-assisted techniques are suggested to enhance safety and execution, especially for right liver resections.

    Conclusions:

    • Laparoscopic liver resections offer significant benefits in blood loss reduction and postoperative morbidity.
    • Hand-assisted laparoscopy may be advantageous for complex liver resections.
    • Advancements in technology have facilitated the practice of laparoscopic hepatic resections.