Application of the Left Lateral Decubitus Position in Laparoscopic Right Posterior Lobectomy

Abstract

Objective: To investigate the value of the left lateral decubitus position in laparoscopic right posterior lobe tumor resection. Patients and Methods: The clinical data of patients who underwent laparoscopic right posterior lobectomy from January 2020 to March 2023 were retrospectively collected and divided into group A (left lateral decubitus position group, n=30) and group B (conventional position group, n=35) according to different body positions. Intraoperative and postoperative data were collected and compared between the 2 groups. Results: The operation time (210.43±57.56 vs. 281.97±65.89, t=5.887, P<0.05), hilar occlusion time (23.97±14.25 vs. 35.79±12.62, t=4.791, P<0.05), intraoperative blood loss (162.14±72.61 vs. 239.65±113.56, t=5.713, P<0.05), postoperative feeding time (1.13±0.36 vs. 1.57±0.67, t=3.681, P<0.05), postoperative visual analog scale score (5.16±0.89 vs. 7.42±1.31, t=3.721, P<0.05), postoperative abdominal drainage tube indwelling time (4.58±1.34 vs. 5.42±1.52, t=4.553, P<0.05), incidence rate of complications (43.33% vs. 82.86%, χ2=11.075, P<0.05) in group A were lower than those in group B (P<0.05). Symptoms/side effects (32.42±3.42 vs. 27.44±3.31, t=4.331, P<0.05), and there were significant differences in social function (33.55±2.56 vs. 29.31±3.32, t=4.863, P<0.05). Conclusion: For right posterior lobe tumors of the liver, the left lateral decubitus position has many advantages in laparoscopic right posterior lobectomy, such as a wide field of view, simple steps, a short operation time, less bleeding, and a high postoperative quality of life. It is an effective treatment for right posterior lobe tumors of the liver and is worthy of being widely popularized.