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Updated: Apr 14, 2026
Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
[Laparoscopic liver resection : A retrospective analysis of 94 clinical cases]
M Heuer1, P F Alesina, J Hinrichs
1Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Kliniken Essen-Mitte, Evang. Huyssens-Stiftung/Knappschaft GmbH, Akademisches Lehrkrankenhaus der Universität Duisburg-Essen, Henricistr. 92, 45136, Essen, Deutschland, matthias.heuer@uk-essen.de.
Background:
Since the introduction of minimally invasive surgery its use in liver resections is controversial. The importance of laparoscopic liver surgery within a large collective has been studied insufficiently to date.
Objectives:
In this article we report our experiences with minimally invasive liver resections.
Methods:
A retrospective analysis was conducted looking at all patients in our clinic where a laparoscopic liver resection was performed between 01 January 2000 and 30 April 2013.
Results:
In total, we performed 94 laparoscopic liver resections in 90 patients (female n = 44, 46.8 %, male n = 50, 53.2 %) with 28 primary and 63 secondary liver tumors and 3 tumors remaining unclear. Of these 62 were atypical or wedge resections, 19 segmental resections, 8, left lateral and 3 right lateral resections as well as 1 hemihepatectomy left and 1 right. Switching to an open resection intraoperatively was necessary in eight cases. Postoperative complications were observed in two patients, one patient experienced a postoperative cerebral artery stroke and one patient died on postoperative day 13 from sepsis in multiorgan failure. The average operative time was 145 ± 82.34 min (range 10-430 min) and the average hospital stay 7 days. In 79 patients an R0 resection was achieved.
Conclusions:
Laparoscopic liver resection can be considered a safe procedure for the treatment of liver tumors. The accurate selection of patients and appropriate expertise of the attending team in minimally invasive surgery are essential to the outcome.
