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Updated: May 10, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
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Liver Resection for Primary Hepatic Neoplasms.

Th E Starzl1, S Iwatsuki

  • 1Department of Surgery, University Health Center of Pittsburgh, University of Pittsburgh, and the Veterans Administration Medical Center, Pittsburgh, Pennsylvania, USA.

Acta Chirurgica Austriaca
|June 25, 2013
PubMed
Summary
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Subtotal hepatic resection is a viable treatment for liver tumors and injuries, with a 4.2% global mortality rate. This surgical approach proves effective for both benign and malignant liver neoplasms.

Area of Science:

  • Hepatobiliary surgery
  • Surgical oncology
  • Gastroenterology

Background:

  • Subtotal hepatic resection is a complex procedure.
  • Its application in treating a variety of liver conditions is well-documented.
  • Understanding its efficacy and safety is crucial for patient outcomes.

Purpose of the Study:

  • To evaluate the outcomes of subtotal hepatic resection.
  • To determine the role of this surgery in managing benign and malignant liver neoplasms.
  • To assess the overall mortality associated with the procedure.

Main Methods:

  • A retrospective analysis of 356 patients undergoing subtotal hepatic resection.
  • Categorization of patients based on lesion type: primary hepatic malignancies, metastatic tumors, and benign lesions (including traumatic injuries).
Keywords:
Primary hepatic malignanciesbenign liver tumorshepatic metastasesliver resectionresults of liver resectiontechniques of liver resection

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Last Updated: May 10, 2026

Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
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Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection

Published on: December 30, 2025

  • Calculation of the global mortality rate.

    • Main Results:

    • The study included 356 patients: 87 with primary hepatic malignancies, 108 with metastatic tumors, and 161 with benign lesions or traumatic injuries.
    • The global mortality rate for subtotal hepatic resection was 4.2%.
    • The data indicates successful application across diverse hepatic pathologies.

    Conclusions:

    • Subtotal hepatic resection is an effective surgical option for a range of liver conditions.
    • The procedure demonstrates a manageable mortality rate, supporting its clinical utility.
    • This experience clarifies the established role of subtotal hepatic resection in treating both benign and malignant liver neoplasms.