Related Experiment Video
Updated: Jan 23, 2026
07:22
Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
745
Pure laparoscopic right posterior sectionectomy using the caudate lobe-first approach
Yuki Homma1,2, Goro Honda3,4, Masanao Kurata1,5
1Department of Surgery, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, Tokyo, Japan.
Surgical Endoscopy
|June 12, 2019
Summary
This study standardized laparoscopic right posterior sectionectomy (Lap-RPS) using a caudate lobe-first approach. This method proved feasible and reduced operative time and blood loss, enhancing laparoscopic liver surgery.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Standardization
Background:
- Standardizing laparoscopic right-sided anatomical hepatectomy identified benefits of the caudate lobe-first approach.
- This study details a standardized procedure for laparoscopic right posterior sectionectomy (Lap-RPS) employing this approach.
Purpose of the Study:
- To describe a standardized procedure for Lap-RPS using the caudate lobe-first approach.
- To evaluate the feasibility and outcomes of this standardized Lap-RPS technique.
Main Methods:
- A cohort of 31 patients undergoing pure Lap-RPS between January 2011 and January 2018 was analyzed.
- Patient demographics, diagnoses (metastatic liver tumor, hepatocellular carcinoma, etc.), and liver function (Child-Pugh class A) were recorded.
- Surgical techniques were video-recorded, and cumulative sum (CUSUM) analyses were used to assess the learning curve and operative parameters.
Main Results:
- The mean operative time was 420 minutes, with a mean blood loss of 304g.
- All procedures were completed laparoscopically without conversion to open surgery.
- No postoperative complications such as bleeding, bile leakage, hepatic failure, or mortality were observed. CUSUM analysis indicated reduced operative time and blood loss with experience.
Conclusions:
- The standardized Lap-RPS procedure using the caudate lobe-first approach is feasible.
- This approach offers potential advantages for laparoscopic anatomical hepatectomy, improving efficiency and safety.
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