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Laparoscopic Anatomic Segment 6 Liver Resection Using the Glissonian Approach.

Hanlim Choi1, Ho-Seong Han, Yoo-Seok Yoon

  • 1*Department of Surgery, Chungbuk National University Hospita, Cheongju-sil †Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine Seongnam-si ‡Department of Surgery, Gyeongsang National University Hospital, Jinju-si, Korea.

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|March 25, 2017
PubMed
Summary

Laparoscopic anatomic segment 6 liver resection is a safe and effective procedure for hepatocellular carcinoma. This minimally invasive technique offers good outcomes with no recurrence in patients with limited liver function.

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Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Oncology

Background:

  • Laparoscopic liver resection is increasingly utilized for malignant liver disease.
  • The Glissonian approach offers specific technical advantages for liver segmentectomies.

Purpose of the Study:

  • To describe technical maneuvers and perioperative outcomes of laparoscopic anatomic segment 6 liver resection using the Glissonian approach.
  • To evaluate the feasibility and safety of this procedure for hepatocellular carcinoma.

Main Methods:

  • Retrospective analysis of 7 patients undergoing laparoscopic anatomic segment 6 liver resection for hepatocellular carcinoma.
  • Data collected included operative time, blood loss, conversion rates, and postoperative outcomes.

Main Results:

  • All 7 patients were men with a mean age of 62.3 years.
  • Mean operative time was 352.8 minutes with no open conversions. Mean blood loss was 521.4 mL.
  • No postoperative morbidity or mortality, with a mean hospital stay of 7.5 days. All achieved negative margins and no recurrence during follow-up.

Conclusions:

  • Laparoscopic anatomic segment 6 liver resection using the Glissonian approach is a feasible and safe procedure.
  • This minimally invasive technique is suitable even for patients with compromised liver function.
  • The procedure demonstrated excellent oncologic outcomes with no recurrence in the study cohort.