Glissonean pedicle approach in laparoscopic anatomical liver resection

The remnant liver volume, its function and tumor clearance are important issues in laparoscopic liver resection (LLR). With increasing knowledge of LLR, surgical safety and oncological results after LLR are now similar to those after open liver resection. Anatomical LLR has emerged from the introduction of the Glissonean pedicle approach to open surgery. When anatomical LLR is performed with this approach, many types of resections are possible, including major resections, bisegmentectomy, and monosegmentectomy. This study provides important technical features of anatomical LLR with the Glissonean pedicle approach.