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Related Experiment Video

Updated: Dec 21, 2025

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection
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Laparoscopic versus open hemihepatectomy: a 1:1 matched analysis.

Yifan Wang1,2, Jing Fang1, Liumei Lin1

  • 1Department of Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China.

Annals of Translational Medicine
|May 13, 2020
PubMed
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Laparoscopic hemihepatectomy (LH) is a safe procedure, showing reduced blood loss and shorter hospital stays compared to open hemihepatectomy (OH). While initial costs are higher, LH offers comparable complication rates and no increased mortality.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic liver resection is expanding to complex procedures like hemihepatectomy.
  • Major laparoscopic liver resections are still considered innovative and require cautious introduction.
  • Expert recommendations emphasize careful evaluation of these advanced laparoscopic techniques.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic hemihepatectomy (LH).
  • To compare perioperative outcomes of LH versus open hemihepatectomy (OH).
  • To assess complication rates and hospital costs associated with both procedures.

Main Methods:

  • A 1:1 matched study comparing 138 LH patients with 138 OH patients.
  • Data collected from January 2012 to December 2017 at Sir Run Run Shaw Hospital.
Keywords:
Laparoscopic liver resectioncosthemihepatectomy

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  • Comparison of perioperative outcomes, complications, and costs between the two groups.

    • Main Results:

    • LH group had significantly shorter postoperative hospital stays (P=0.031).
    • LH group demonstrated significantly less intraoperative blood loss (P=0.005) and lower transfusion rates (P=0.001).
    • No mortality in either group; comparable complication rates with uneventful recovery.

    Conclusions:

    • Laparoscopic hemihepatectomy (LH) is a safe and viable surgical option.
    • LH offers advantages in reduced blood loss and shorter hospital stays.
    • Routine performance of LH is feasible in experienced laparoscopic centers.