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Related Experiment Video

Updated: Nov 9, 2025

Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
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Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques

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Laparoscopic left ventral hepatic segmentectomy (with video).

Kenei Furukawa1, Koichiro Haruki1, Shinji Onda1

  • 1Division of Hepatobiliary and Pancreas Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan.

Surgical Oncology
|April 11, 2021
PubMed
Summary
This summary is machine-generated.

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This study introduces a laparoscopic approach for liver resection of segments 3 and 4, demonstrating its feasibility for hepatocellular carcinoma. The procedure was successful with minimal blood loss and a short recovery period.

Area of Science:

  • Hepatobiliary Surgery
  • Minimally Invasive Procedures
  • Surgical Oncology

Background:

  • Conventional laparotomy for liver resection of segments 3 and 4 has been documented.
  • This study presents a laparoscopic alternative for this specific liver resection.

Purpose of the Study:

  • To describe the laparoscopic technique for left ventral hepatic segmentectomy.
  • To evaluate the feasibility and outcomes of this minimally invasive approach for hepatocellular carcinoma.

Main Methods:

  • Laparoscopic left ventral hepatic segmentectomy involving segments 3 (S3) and ventral segment 4 (S4v).
  • Utilized indocyanine green-fluorescence imaging for precise demarcation.
  • Controlled and occluded the Glissonean pedicle for the left ventral segment.
Keywords:
Anatomical resectionLaparoscopic hepatectomyLeft ventral segmentectomy

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Main Results:

  • Operative time was 221 minutes with minimal intraoperative blood loss (10 ml).
  • The patient experienced an uneventful postoperative course.
  • Discharge occurred 7 days after surgery.

Conclusions:

  • Laparoscopic left ventral hepatic segmentectomy is a viable option for anatomical resection.
  • This technique is suitable for tumors near the umbilical portion of the liver in selected centers.