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Updated: Oct 25, 2025
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Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
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Pure Laparoscopic Donor Hepatectomy: Right Posterior Section Graft
Yasushi Hasegawa1, Hiroyuki Nitta2, Takeshi Takahara1
1Department of Surgery, Iwate Medical University, 2-1-1 Idaidori, Yahaba, Shiwa, Iwate, 028-3695, Japan.
Summary
This study introduces the first pure laparoscopic posterior sectionectomy for liver donation, a challenging procedure. The novel technique successfully procured a liver graft with no complications, demonstrating its feasibility.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Transplant Surgery
Background:
- Laparoscopic liver resection (LLR) offers advantages like smaller incisions.
- Posterior sectionectomy and donor hepatectomy are complex LLR procedures.
- Right posterior section graft procurement is difficult, even with open surgery.
Purpose of the Study:
- To introduce a novel pure laparoscopic procedure for posterior sectionectomy in liver donation.
- To address the technical challenges of laparoscopic posterior sectionectomy.
Main Methods:
- The donor was positioned in semi-left lateral decubitus with reverse Trendelenburg.
- A liver hanging maneuver was used for parenchymal transection and vessel control.
- Graft retrieval was performed via a suprapubic incision.
Main Results:
- The surgery took 503 minutes with 400 mL blood loss.
- No complications were observed in the donor.
- The donor was discharged on postoperative day 11.
Conclusions:
- This is the first report of pure laparoscopic donor hepatectomy for a posterior section graft.
- The procedure is technically demanding due to parenchymal transection and hilar vessel dissection.
- The described technique demonstrates the feasibility of pure laparoscopic posterior sectionectomy for liver donation.
