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Updated: Jan 25, 2026
13:57
Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
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Comparison study between open and laparoscopic liver resection in a Saudi tertiary center
Faisal A Al-Saif1, Mosaed K Aldekhayel, Faisal Al-Alem
1Department of Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia. E-mail. falsaif@ksu.edu.sa.
Saudi Medical Journal
|May 7, 2019
Summary
Laparoscopic liver resection is a safe and effective alternative to open surgery for liver cancer and other conditions. This study shows reduced complications and mortality with the laparoscopic approach.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Open liver resection has been the standard surgical approach.
- Advancements in surgical technology have enabled minimally invasive techniques.
- Laparoscopic liver resection (LLR) offers potential benefits over open procedures.
Purpose of the Study:
- To compare the outcomes of LLR at King Saud University Medical City with historical data from open resections.
- To evaluate the safety and efficacy of LLR in a real-world clinical setting.
Main Methods:
- Retrospective analysis of 111 adult liver resections performed between 2006 and 2017.
- Exclusion of cases converted from laparoscopic to open procedures.
- Comparison of operative time, blood transfusion rates, morbidity, and mortality between LLR and open liver resection (OLR).
Main Results:
- LLR was performed in 22 patients (19.8%) and OLR in 89 patients (80.1%).
- Malignancy was the primary indication for resection in both groups (78.5%).
- LLR demonstrated significantly lower rates of intraoperative blood transfusion (9% vs 31.4%), morbidity (13.6% vs 31.4%), and mortality (0% vs 5.6%) compared to OLR.
Conclusions:
- Laparoscopic liver resection is a safe and feasible surgical option for both benign and malignant liver conditions.
- The study supports the adoption of LLR as a viable alternative to open surgery, offering improved patient outcomes.
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