Related Experiment Video
Updated: Oct 1, 2025
Laparoscopic Anatomical Liver Segment VII Resection with Liver Parenchymal Transection Following a Priority Approach
Published on: May 23, 2025
Early results of the implementation of laparoscopic major liver resection program
Marcin Morawski1, Michał Grąt2, Maciej Krasnodębski2
1Department of General, Transplant, and Liver Surgery, Medical University of Warsaw, Banacha 1a Street, 02-097, Warsaw, Poland. marcin.morawski@wum.edu.pl.
Background:
Laparoscopic liver resections offer potential benefits but may require advanced laparoscopic skills and are volume dependent.
Methods:
This retrospective study included 12 patients who underwent major laparoscopic resection and 24 patients after open major liver resection for liver malignancy in the time period between September 2020 and May 2021. The primary outcomes were complications according to Clavien-Dindo classification and duration of hospital stay.
Results:
Median duration of hospital stay in laparoscopic resection group (6 days) was significantly shorter than in open resection group (8 days) (p = 0.046). Complications classified as grade II or higher were significantly less frequent in the laparoscopic resection group (2 patients) versus open resection group (13 patients) (p = 0.031).
Conclusions:
Although laparoscopic major liver resections should be limited to expert hepatobiliary centers and are characterized by long learning curve, this approach may offer favorable short-term outcomes even during launching a new program.
