Video: totally laparoscopic left lateral segmentectomy for hepatic malignancies: a modified technique

Area of Science:

• Hepatobiliary Surgery
• Minimally Invasive Surgery
• Surgical Oncology

Background:

• Laparoscopic liver resections are increasingly adopted for managing liver malignancies.
• Left hepatic lobectomy, particularly involving segments II/III, presents unique anatomical challenges.
• Assessing the safety and efficacy of totally laparoscopic approaches is crucial.

Purpose of the Study:

• To evaluate the safety and efficacy of totally laparoscopic left hepatic lobectomy (segments II/III) for malignancy.
• To demonstrate key technical aspects of this minimally invasive procedure.
• To present short- and long-term outcomes of this surgical technique.

Main Methods:

• A series of over 30 totally laparoscopic left hepatic lobectomies (segments II/III) for malignancy were performed.
• The study focuses on a modified approach utilizing totally laparoscopic techniques.
• Pertinent issues including trocar placement, intrahepatic anatomy, and technical maneuvers were illustrated.

Main Results:

• The series included more than 30 totally laparoscopic left hepatic lobectomies for malignant indications.
• Short- and long-term results indicate the procedure is both safe and efficient.
• The video demonstrates critical steps for successful execution.

Conclusions:

• Totally laparoscopic left hepatic lobectomy (segments II/III) is a safe and efficient surgical option for malignancy.
• The described technique and illustrated maneuvers facilitate successful implementation.
• This approach offers a viable minimally invasive alternative for selected liver cancers.