Related Experiment Video
Updated: Apr 19, 2026
12:27
Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
Published on: June 16, 2023
4.1K
Laparoscopic liver resection in obese patients
Kan Toriguchi1, Etsuro Hatano, Takaki Sakurai
1Department of Surgery, Graduate School of Medicine, Kyoto University, 54 Kawahara-cho, Shogoin, Sakyo-ku, Kyoto, Japan, ktori@kuhp.kyoto-u.ac.jp.
World Journal of Surgery
|January 7, 2015
Summary
Laparoscopic liver resection (LLR) in obese patients shows reduced blood loss and shorter hospital stays compared to open liver resection (OLR). LLR is a safe and feasible option for selected obese patients.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Obesity Medicine
Background:
- Obesity is linked to poorer surgical outcomes.
- Limited data exists on laparoscopic liver resection (LLR) in obese patients.
- Long-term outcomes comparing LLR and open liver resection (OLR) are not well-established.
Purpose of the Study:
- To evaluate the outcomes of obese patients undergoing LLR.
- To compare LLR with OLR in obese patients.
Main Methods:
- Retrospective comparison of 13 obese patients undergoing LLR versus 69 obese patients undergoing OLR (2002-2012).
- Analysis included short-term and long-term outcomes, particularly for hepatocellular carcinoma patients.
Main Results:
- No significant differences in preoperative characteristics or postoperative complications/mortality between LLR and OLR groups.
- LLR group experienced significantly less intraoperative blood loss.
- LLR group had a significantly shorter postoperative hospital stay.
Conclusions:
- LLR in obese patients leads to decreased intraoperative blood loss and shorter hospital stays compared to OLR.
- LLR is a safe and feasible surgical option for carefully selected obese patients.
