Laparoscopic Central Bisectionectomy and Right Anterior Sectionectomy Using Two Retraction Methods: Technical Aspects...

Area of Science:

• Hepatobiliary surgery
• Minimally invasive surgical techniques
• Surgical oncology

Background:

• Central bisectionectomy and right anterior sectionectomy are complex liver resections.
• Laparoscopic approaches present technical challenges for these procedures.

Purpose of the Study:

• To introduce a laparoscopic technique for central liver resections.
• To compare perioperative outcomes of laparoscopic versus open approaches.

Main Methods:

• Retrospective analysis of 26 patients (17 laparoscopic, 9 open) undergoing central bisectionectomy or right anterior sectionectomy.
• Utilized a perihilar Glissonian approach and rubber band self-retraction technique.
• Detailed technique, illustrations, video, and outcome data were collected.

Main Results:

• No conversions from laparoscopic to open surgery.
• Similar operative times and comparable surgical margins between groups.
• Laparoscopic group showed a trend towards less blood loss and fewer complications.
• Significantly shorter hospital stay in the laparoscopic group (8.8 vs. 17.1 days).

Conclusions:

• The described laparoscopic technique for central liver resections is feasible and safe.
• Offers potential benefits of minimally invasive surgery, including reduced hospital stay.