Laparoscopic Segment VI Liver Resection Using a Left Lateral Decubitus Position: a Personal Modified Technique

Overview

Journal J Gastrointest Surg

Specialty Gastroenterology

Date 2008 May 14

PMID 18473147

Citations 15

Authors

Giulio Belli

Corrado Fantini

Alberto DAgostino

Luigi Cioffi

Paolo Limongelli

Gianluca Russo

Andrea Belli

Affiliations

Soon will be listed here.

Abstract

Background: Laparoscopic technique for lesions located in the left liver is well described in the literature. On the contrary, the best laparoscopic approach for lesions located in the right liver, such as in segment VI, is still debated.

Aim: In this article, we provide a detailed description of a laparoscopic segment VI liver resection using a left lateral decubitus position with the right side up, facilitated by a personal technique. We also discuss potential advantages and disadvantages of this procedure.

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References

Azagra J, Goergen M, Gilbart E, Jacobs D . Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects. Surg Endosc. 1996; 10(7):758-61. DOI: 10.1007/BF00193052. View

Gagner M, Pomp A, Heniford B, Pharand D, Lacroix A . Laparoscopic adrenalectomy: lessons learned from 100 consecutive procedures. Ann Surg. 1997; 226(3):238-46; discussion 246-7. PMC: 1191015. DOI: 10.1097/00000658-199709000-00003. View

Belli G, Fantini C, DAgostino A, Belli A, Russolillo N . Laparoscopic liver resections for hepatocellular carcinoma (HCC) in cirrhotic patients. HPB (Oxford). 2008; 6(4):236-46. PMC: 2020680. DOI: 10.1080/13651820410023941. View

Kamiyama T, Kurauchi N, Nakagawa T, Nakanishi K, Kamachi H, Matsushita M . Laparoscopic hepatectomy with the hook blade of ultrasonic coagulating shears and bipolar cautery with a saline irrigation system. J Hepatobiliary Pancreat Surg. 2005; 12(1):49-54. DOI: 10.1007/s00534-004-0934-3. View

Kaneko H, Takagi S, Otsuka Y, Tsuchiya M, Tamura A, Katagiri T . Laparoscopic liver resection of hepatocellular carcinoma. Am J Surg. 2005; 189(2):190-4. DOI: 10.1016/j.amjsurg.2004.09.010. View

Morino M, Morra I, Rosso E, Miglietta C, Garrone C . Laparoscopic vs open hepatic resection: a comparative study. Surg Endosc. 2003; 17(12):1914-8. DOI: 10.1007/s00464-003-9070-4. View

Gayet B, Cavaliere D, Vibert E, Perniceni T, Levard H, Denet C . Totally laparoscopic right hepatectomy. Am J Surg. 2007; 194(5):685-9. DOI: 10.1016/j.amjsurg.2006.11.044. View

Belli G, Fantini C, DAgostino A, Cioffi L, Langella S, Russolillo N . Laparoscopic versus open liver resection for hepatocellular carcinoma in patients with histologically proven cirrhosis: short- and middle-term results. Surg Endosc. 2007; 21(11):2004-11. DOI: 10.1007/s00464-007-9503-6. View

Belli G, Fantini C, DAgostino A, Belli A, Russolillo N, Cioffi L . [Laparoscopic liver resection without a Pringle maneuver for HCC in cirrhotic patients]. Chir Ital. 2005; 57(1):15-25. View

10.

Huscher C, Napolitano C, Chiodini S, Recher A, Buffa P, Lirici M . Hepatic resections through the laparoscopic approach. Ann Ital Chir. 1998; 68(6):791-7. View

11.

Belli G, DAgostino A, Fantini C, Cioffi L, Belli A, Russolillo N . Laparoscopic radiofrequency ablation combined with laparoscopic liver resection for more than one HCC on cirrhosis. Surg Laparosc Endosc Percutan Tech. 2007; 17(4):331-4. DOI: 10.1097/SLE.0b013e31806d9c65. View

12.

Cherqui D, Husson E, Hammoud R, Malassagne B, Stephan F, Bensaid S . Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg. 2000; 232(6):753-62. PMC: 1421268. DOI: 10.1097/00000658-200012000-00004. View

13.

Lesurtel M, Cherqui D, Laurent A, Tayar C, Fagniez P . Laparoscopic versus open left lateral hepatic lobectomy: a case-control study. J Am Coll Surg. 2003; 196(2):236-42. DOI: 10.1016/S1072-7515(02)01622-8. View

14.

Belli G, Fantini C, DAgostino A, Belli A, Langella S . Laparoscopic hepatic resection for completely exophytic hepatocellular carcinoma on cirrhosis. J Hepatobiliary Pancreat Surg. 2005; 12(6):488-93. DOI: 10.1007/s00534-005-1006-z. View

15.

Dulucq J, Wintringer P, Stabilini C, Berticelli J, Mahajna A . Laparoscopic liver resections: a single center experience. Surg Endosc. 2005; 19(7):886-91. DOI: 10.1007/s00464-004-2044-3. View

16.

Vibert E, Perniceni T, Levard H, Denet C, Shahri N, Gayet B . Laparoscopic liver resection. Br J Surg. 2005; 93(1):67-72. DOI: 10.1002/bjs.5150. View

17.

Buell J, Koffron A, Thomas M, Rudich S, Abecassis M, Woodle E . Laparoscopic liver resection. J Am Coll Surg. 2005; 200(3):472-80. DOI: 10.1016/j.jamcollsurg.2004.10.017. View

18.

Cherqui D, Laurent A, Tayar C, Chang S, Tran Van Nhieu J, Loriau J . Laparoscopic liver resection for peripheral hepatocellular carcinoma in patients with chronic liver disease: midterm results and perspectives. Ann Surg. 2006; 243(4):499-506. PMC: 1448957. DOI: 10.1097/01.sla.0000206017.29651.99. View

19.

Gigot J, Glineur D, Azagra J, Goergen M, Ceuterick M, Morino M . Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann Surg. 2002; 236(1):90-7. PMC: 1422553. DOI: 10.1097/00000658-200207000-00014. View

20.

Belli G, Fantini C, DAgostino A, Belli A, Cioffi L, Russolillo N . Laparoscopic left lateral hepatic lobectomy: a safer and faster technique. J Hepatobiliary Pancreat Surg. 2006; 13(2):149-54. DOI: 10.1007/s00534-005-1023-y. View