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Updated: Oct 17, 2025
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Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
121
Laennec's approach for laparoscopic anatomical hemihepatectomy
Wei Hu1,2, Gongming Zhang3, Meng Chen1,2
1Department of Hepatobiliary Surgery, The First Affiliated Hospital of Kangda College of Nanjing Medical University, Nanjing, 222001, Jiangsu, China.
World Journal of Surgical Oncology
|October 7, 2021
Summary
Laennec's approach is a safe and effective method for laparoscopic anatomical hepatectomy (LAH). Utilizing Laennec's capsule aids in standardizing surgical techniques for this complex liver procedure.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Surgery
- Surgical Anatomy
Background:
- Laennec's capsule has been known for approximately 200 years.
- Laparoscopic anatomical right and left hemihepatectomy (LARH and LALH) using Laennec's approach are infrequently documented.
Purpose of the Study:
- To evaluate the safety and feasibility of Laennec's approach for laparoscopic anatomical hepatectomy (LAH).
- To assess the utility of Laennec's capsule in standardizing LAH procedures.
Main Methods:
- Retrospective analysis of 15 patients undergoing LAH via Laennec's approach (May 2017 - July 2020).
- Detailed recording and analysis of operative time, blood loss, postoperative complications, and hospital stay.
- Histological confirmation of Laennec's capsule presence.
Main Results:
- Laennec's approach was successfully used for LAH in all 15 patients without conversion to open surgery.
- Indications included hepatic hemangioma (4), hepatolithiasis (2), and primary liver cancer (9).
- Mean operative time: 193 min, blood loss: 247 mL, hospital stay: 8.7 days; no mortality, bile leakage, or bleeding.
Conclusions:
- Laennec's approach is a safe and feasible technique for laparoscopic anatomical hepatectomy.
- Accurate identification of Laennec's approach, guided by Laennec's capsule, can standardize surgical techniques for LAH.
