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Related Experiment Video

Updated: May 10, 2026

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
13:57

Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach

Published on: May 23, 2025

[Laparoscopic liver resection: lessons learned after 132 resections].

Ricardo Robles Campos1, Caridad Marín Hernández, Asunción Lopez-Conesa

  • 1Unidad de Cirugía Hepática y Trasplante Hepático, Departamento de Cirugía, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, España.

Cirugia Espanola
|July 6, 2013
PubMed
Summary

Laparoscopic liver resections (LLRs) using both totally laparoscopic (TLS) and hand-assisted (HAS) approaches offer outcomes comparable to open surgery. These minimally invasive techniques provide similar survival rates with reduced patient recovery times.

Keywords:
Benign liver tumoursCirugía hepáticaCirugía hepática laparoscópicaHepatic metastasesHepatocarcinomaLaparoscopic liver surgeryLiver surgeryMetástasis hepáticasTumores hepáticos benignos

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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy

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Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Context:

  • Laparoscopic liver resection (LLR) has evolved over two decades, yet optimal approaches remain debated.
  • Standardization of indications, techniques, and outcomes for LLR is lacking.
  • This study addresses the need for comparative data on totally laparoscopic surgery (TLS) versus hand-assisted surgery (HAS) for liver resections.

Purpose:

  • To report the institutional experience with 132 laparoscopic liver resections (LLRs) over a 10-year period.
  • To evaluate the feasibility and outcomes of both totally laparoscopic (TLS) and hand-assisted (HAS) approaches.
  • To compare short-term and long-term results of LLRs for malignant and benign liver lesions.

Summary:

  • A total of 132 LLRs were performed in 129 patients, including 112 malignant and 20 benign lesions.
  • Hand-assisted surgery (HAS) achieved complete resection in all 104 cases, while totally laparoscopic surgery (TLS) was completed in 23 of 28 cases.
  • Perioperative mortality was zero, with 3% morbidity. Mean hospital stay was 3.5 days, with 4.5% transfusion rate. Five-year survival rates for primary malignant tumors and colorectal metastases were 62% and 52%, respectively.

Impact:

  • LLR, utilizing both TLS and HAS, demonstrates comparable morbidity, mortality, and survival rates to open liver surgery.
  • Minimally invasive laparoscopic liver resection offers significant advantages in patient recovery and reduced hospital stay.
  • These findings support the adoption of LLR in selected cases, leveraging the benefits of minimally invasive techniques.