Related Experiment Video
Updated: Mar 28, 2026
03:48
Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
Published on: October 6, 2023
2.0K
Laparoscopic Posterior Sectionectomy Extended to the Right Hepatic Vein: A Low-Cost, Resource-Efficient Approach
Kaival Gundavda1,2, Sanket Mehta3,4,5
1Department of Gastrointestinal and Hepatobiliary-Pancreatic Surgery, Specialty Surgical Oncology Cancer Hospital, Mumbai, Maharashtra, India.
Annals of Surgical Oncology
|March 27, 2026
Summary
This study demonstrates a cost-effective laparoscopic posterior sectionectomy (LPS) using a single-energy device. The technique ensures safe and precise liver resection, even in resource-limited settings.
Area of Science:
- Hepatobiliary Surgery
- Minimally Invasive Procedures
- Surgical Technology
Background:
- Laparoscopic posterior sectionectomy (LPS) is a complex liver resection requiring advanced techniques.
- This video showcases a resource-efficient LPS approach using a single-energy device.
Purpose of the Study:
- To demonstrate a cost-effective and resource-efficient technique for LPS.
- To highlight safe and precise liver resection using a single-energy device.
Main Methods:
- A solitary liver lesion in segment VII was resected using LPS with Ligasure for dissection and vessel sealing.
- Key steps included anatomical exposure, vascular isolation, parenchymal transection, and intraoperative ultrasound guidance.
Main Results:
- Successful LPS with 220-minute operative time and 60 mL blood loss.
- Uneventful postoperative recovery, discharge on day 5, and R0 resection confirmed histopathologically.
- Demonstrated feasibility in resource-limited settings without specialized equipment like cavitron ultrasonic surgical aspirator.
Conclusions:
- Laparoscopic posterior sectionectomy is feasible using a cost-effective, single-energy device approach.
- Proper surgical planning and expertise enable safe and effective outcomes in resource-constrained environments.
