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Updated: Dec 26, 2025
Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
Published on: April 11, 2025
Single versus multiple port laparoscopic left lateral sectionectomy for hepatocellular carcinoma: A retrospective
Jun-Cheng Wang1, Yangxun Pan1, Jinbin Chen1
1Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong, 510060, PR China; Department of Liver Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, 510060, PR China.
Single port laparoscopic left lateral sectionectomy (SPLS) offers a safe and feasible approach for hepatocellular carcinoma (HCC) treatment, demonstrating shorter hospital stays compared to multi-port laparoscopic surgery.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Oncology
Background:
- Single port laparoscopic hepatectomy is an emerging surgical technique.
- Hepatocellular carcinoma (HCC) treatment often involves surgical resection.
- Left lateral sectionectomy is a common procedure for liver tumors.
Purpose of the Study:
- To evaluate the safety and feasibility of single port laparoscopic left lateral sectionectomy (SPLS).
- To compare SPLS with conventional multi-port laparoscopic left lateral sectionectomy (MPLS) for HCC treatment.
- To analyze peri-operative and short-term oncological outcomes.
Main Methods:
- A comparative study involving 72 patients with HCC.
- 33 patients underwent SPLS, and 39 patients underwent MPLS.
- Peri-operative parameters and oncological outcomes were assessed.
Main Results:
- SPLS group showed a significantly shorter postoperative hospital stay (LOS) (4.12 vs. 4.59 days).
- No significant differences in operation time or blood loss between SPLS and MPLS.
- Similar 1-year recurrence-free survival rates (77.9% for SPLS vs. 70.7% for MPLS).
Conclusions:
- Single port laparoscopic left lateral sectionectomy is a feasible and safe surgical option for HCC.
- SPLS may offer advantages in terms of reduced hospital stay.
- Further research can explore long-term outcomes.
