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Laparoscopic left lateral sectionectomy: A three-port method.

Toshitaka Sugawara¹, Masaji Hashimoto¹, Junichi Shindoh¹

¹Department of Digestive Surgery, Hepatobiliary-Pancreatic Surgery Division, Toranomon Hospital, Tokyo, Japan.

Journal of Minimal Access Surgery

|July 6, 2018

Summary

This summary is machine-generated.

Reduced port laparoscopic left lateral sectionectomy (LLS) using three ports is safe and feasible. This technique offers benefits over conventional LLS, with shorter operation times and reduced blood loss.

Keywords:

Feasibility laparoscopic left lateral sectionectomy reduced ports

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Area of Science:

Hepatobiliary Surgery
Minimally Invasive Surgery
Surgical Oncology

Background:

Laparoscopic liver resection, including laparoscopic left lateral sectionectomy (LLS), is increasingly common.
A novel 3-port, reduced-port LLS procedure was developed to enhance minimally invasive benefits.

Purpose of the Study:

To evaluate the safety and feasibility of a 3-port reduced-port laparoscopic left lateral sectionectomy (LLS).

Main Methods:

A retrospective review of patients undergoing 3-port LLS at Toranomon Hospital (Tokyo, Japan) between 2009 and the study period.
Exclusion criteria included prior upper abdominal surgery or simultaneous organ resection.
A key technique involved extracorporeal traction of the round ligament for improved operative field visualization.

Main Results:

Twelve patients (Child-Pugh Class A) were included.
The 3-port LLS demonstrated lower median operation time (82.5 min) and blood loss (0 mL) compared to conventional LLS.
Complication rates (9%) and positive surgical margin rates (0%) were comparable to conventional approaches.

Conclusions:

The 3-port reduced-port laparoscopic left lateral sectionectomy (LLS) is a safe and feasible surgical option.
This technique maintains oncological safety while enhancing minimally invasive benefits.