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Related Experiment Video

Updated: May 15, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Laparoscopic liver resection with selective prior vascular control.

Hadrien Tranchart1, Giuseppe Di Giuro, Panagiotis Lainas

  • 1Department of Minimally Invasive Digestive Surgery, Antoine-Béclère Hospital, Assistance Publique - Hôpitaux de Paris (AP-HP), Clamart, France.

American Journal of Surgery
|December 19, 2012
PubMed
Summary

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Selective prior vascular control (PVC) in laparoscopic liver resection (LLR) is feasible and effective, reducing blood loss and transfusion rates compared to open liver resection (OLR). This technique improves patient outcomes in LLR.

Area of Science:

  • Hepatobiliary surgery
  • Minimally invasive surgery
  • Surgical oncology

Background:

  • Selective vascular control is crucial for minimizing blood loss and transfusion requirements during liver resections.
  • Laparoscopic liver resection (LLR) offers potential advantages, but its efficiency with specific techniques like prior vascular control (PVC) requires evaluation.

Purpose of the Study:

  • To assess the efficacy and outcomes of selective prior vascular control (PVC) in patients undergoing laparoscopic liver resection (LLR).
  • To compare the results of LLR with PVC against open liver resection (OLR) with PVC.

Main Methods:

  • A prospective study of 52 patients undergoing LLR with PVC between 1999 and 2008.
  • Comparison of LLR with PVC cohort against a historical cohort of patients undergoing OLR with PVC.

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Last Updated: May 15, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
06:00

Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection

Published on: December 30, 2025

Main Results:

  • No significant difference in operative time between LLR and OLR groups.
  • LLR demonstrated significantly lower blood loss (367 vs 589 mL) and transfusion rates (3.8% vs 17.3%) compared to OLR.
  • Morbidity rates were comparable, while hospital stay was shorter for LLR (7.4 days) versus OLR (11.0 days).

Conclusions:

  • Selective prior vascular control (PVC) is a feasible and beneficial technique for laparoscopic liver resection (LLR).
  • Implementing PVC in LLR leads to improved intraoperative and postoperative outcomes.
  • Prior vascular control should be utilized in LLR whenever surgically appropriate.