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Updated: May 27, 2026
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Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Lessons learned from 100 initial cases of laparoscopic liver surgery
Mi Ri Lee1, Young Hoon Kim, Young Hoon Roh
1Department of Surgery, Dong-A University College of Medicine, Busan, Korea.
Journal of the Korean Surgical Society
|November 9, 2011
Summary
Laparoscopic liver resection (LLR) is a safe and effective procedure for liver tumors, with zero mortality in this study. Expanding LLR applications is feasible when safety and curability match open liver resection.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Laparoscopic liver resection (LLR) is increasingly adopted globally.
- Single-center experience provides valuable insights into LLR outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of LLR over an eight-year period.
- To assess the feasibility of expanding LLR applications.
Main Methods:
- Retrospective analysis of 100 patients undergoing LLR from 2002 to 2010.
- Inclusion of both benign and malignant liver lesions.
- Categorization of LLR techniques: pure laparoscopy, hand-assisted, and hybrid.
Main Results:
- Zero mortality and 11% overall morbidity observed.
- Two-year survival rate of 75% for all patients.
- Resection margin analysis showed adequate clearance in most cases, but two instances of tumor dissemination via argon beam coagulation were noted.
Conclusions:
- LLR demonstrates favorable safety and efficacy, comparable to open liver resection.
- The study supports the gradual expansion of LLR indications.
- Careful technique selection and adherence to safety protocols are crucial for successful LLR.
