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Updated: Apr 8, 2026
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Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
972
Laparoscopic Left Hemihepatectomy for Left-sided Hepatolithiasis
Xiaoming Ye1, Kaiyuan Ni, Xiaoshuai Zhou
1Department of Surgery, Division of Hepatobiliary and Pancreatic Surgery, Yinzhou Second Hospital, Ningbo, China.
Summary
Laparoscopic left hemihepatectomy (LLH) is a safe and effective treatment for left-sided hepatolithiasis. This procedure demonstrated low complication rates and successful management of residual or recurrent stones in a retrospective study.
Area of Science:
- Hepatobiliary surgery
- Minimally invasive surgery
- Gastroenterology
Background:
- Hepatolithiasis is common in southeastern China.
- Partial hepatectomy is the definitive treatment.
- Laparoscopic left hemihepatectomy (LLH) is evaluated for left-sided hepatolithiasis.
Purpose of the Study:
- To evaluate the safety and efficacy of LLH for left-sided hepatolithiasis.
- To assess the outcomes of laparoscopic surgery for this condition.
Main Methods:
- Retrospective review of 37 patients undergoing pure LLH.
- Data collected between March 2009 and December 2013.
- Analysis of operative time, hospital stay, complications, and long-term outcomes.
Main Results:
- Successful LLH in 36/37 patients; one conversion to open surgery.
- Low complication rates: bile leakage (5.4%), fluid collection (5.4%), infection (2.7%).
- Residual stones (5.4%) managed via T-tube tract; recurrent stones (5.4%) treated with endoscopic sphincterotomy.
Conclusions:
- LLH is feasible and safe for selected patients with left-sided hepatolithiasis.
- The procedure offers good outcomes with manageable complications.
- Minimally invasive approach provides a viable treatment option.
