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Updated: Jun 3, 2026
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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Single-centre comparative study of laparoscopic versus open right hepatectomy
Mohammed Abu Hilal1, Francesco Di Fabio, Mabel Joey Teng
1Southampton University Hospitals NHS Trust, HPB Surgery, Tremona Road, Southampton, SO16 6YD, UK. Mohammed.AbuHilal@suht.swest.nhs.uk
Summary
Laparoscopic right hepatectomy (LRH) offers a safe and effective alternative to open surgery for liver resections, with shorter recovery times. Oncological outcomes are comparable, making LRH a viable option for selected patients.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgery
- Surgical oncology
Background:
- Laparoscopic major hepatectomy adoption is limited by technical challenges and oncological outcome concerns.
- Open right hepatectomy (ORH) remains a standard approach for major liver resections.
Purpose of the Study:
- To compare perioperative outcomes and oncological efficiency of laparoscopic right hepatectomy (LRH) versus open right hepatectomy (ORH).
Main Methods:
- A matched-pair analysis comparing patients undergoing LRH and ORH.
- Outcomes assessed included operative time, ICU and hospital stay, complications, and oncological resection margins.
Main Results:
- LRH had longer operative times but significantly shorter ICU and hospital stays compared to ORH.
- No significant differences in postoperative complications, mortality, or R0 resection rates for colorectal liver metastases were observed.
- Mid-term overall survival rates were similar between LRH and ORH groups.
Conclusions:
- Laparoscopic right hepatectomy (LRH) is a safe, effective, and oncologically sound alternative to open resection in select patients.
- Successful LRH requires extensive experience in both hepatic and laparoscopic surgery.
