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Updated: Jan 24, 2026

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
Left Hepatic Lobectomy in the Living Donor-Comparison Between Open vs Laparoscopic Surgery
V Vieira1, L Pacheco1, L Demetrio1
1Liver Transplant Service of Children's State Hospital, Rio de Janeiro, Brazil.
Laparoscopic liver surgery in living donors is safe and feasible, showing reduced hospital stays compared to conventional methods. This minimally invasive approach offers comparable surgical times and improved patient recovery.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Techniques
- Transplant Surgery
Background:
- Laparoscopic hepatic surgery has advanced patient outcomes.
- Application to living donor hepatectomy presents unique challenges.
- International consensus supports laparoscopic hepatectomy for donors.
Purpose of the Study:
- To compare outcomes of laparoscopic versus conventional hepatectomy in live liver donors.
- To evaluate the safety and feasibility of laparoscopic liver resection for donation.
Main Methods:
- Prospective and retrospective analysis of 55 live liver donor lobectomies.
- Data collected between January 2013 and June 2018.
- Comparison of laparoscopic and conventional surgical techniques.
Main Results:
- No significant difference in mean surgical time between techniques.
- Mean ischemia time was comparable (70.2 min laparoscopic vs. 80.2 min conventional).
- Mean hospital stay significantly lower with laparoscopy (2.2 days vs. 3.97 days).
Conclusions:
- Laparoscopic left liver lobectomy is safe and feasible for living donors.
- The laparoscopic approach offers a reduced length of hospitalization.
- Minimally invasive surgery demonstrates benefits in the context of liver donation.
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