Intrahepatic Glissonian approach for single-port laparoscopic left lateral sectionectomy

Abstract

Incomplete responses were excluded. Results: One hundred and thirty responses from 31 countries were included. Most surgeons (73%) perform <50 liver resections per year. Twenty-five percent of surgeons believe that the ideal resection margin is not well established yet. The ideal resection margin was believed to be "no tumor cells at the margin" in 32% of surgeons, "more than 1 mm tumor-free margin" in 41% of surgeons, "more than 5 mm tumor-free margin" in 14% of surgeons and "more than 1 cm tumor-free margin" in 13% of surgeons. Ninety percent of surgeons (117/130) think that an open approach is better in achieving a R0 resection than a laparoscopic approach. Conclusion: Continuing debate exists regarding the most optimal resection margin for colorectal liver metastases. Concerning the type of surgical approach, the majority of surgeons believe that open surgery is better in achieving tumor-free margins.