Laparoscopic Right Posterior Sectionectomy for Malignant Lesions: An Anatomic Approach

Cheng, Kai-Chi; Yeung, Y; Ho, Kit-Man; Chan, Fiona

doi:10.1089/lap.2015.0166

Cited by 13 publications

(12 citation statements)

References 20 publications

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“…13,24 In some series, average blood loss and conversion rate reached 1500 mL and 23%, respectively. 29 In our early experience of partial robotic hepatectomies for lesions in the posterosuperior segments, the blood loss reached 1500-2000 mL; but it required only a few procedures to reduce blood loss. 30 In a whole series, robotic approach was applied more often than laparoscopic technique for anatomical parenchymalsparing resection of the posterosuperior segments for lesions with large vessels involvement.…”

Section: Discussionmentioning

confidence: 98%

Comparative analysis of learning curve in complex robot-assisted and laparoscopic liver resection

Ефанов

Alikhanov

Tsvirkun

et al. 2017

HPB

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Section: Discussionmentioning

confidence: 98%

Comparative analysis of learning curve in complex robot-assisted and laparoscopic liver resection

Ефанов

Alikhanov

Tsvirkun

et al. 2017

HPB

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“…The Morioka guidelines jury expressed their concern on this matter, stating that laparoscopy enables magnified visualization of hence increasing the feasibility of sparing liver parenchyma. Three studies have reported on the feasibility and safety of LRPS [4][5][6]. Table 2 gives an overview of the current literature (series > 10 cases) on LRPS and the applied technique.…”

Section: Discussionmentioning

confidence: 99%

“…Numerous reports have addressed laparoscopic minor liver resections and left lateral sectionectomies but only few papers have focused on laparoscopic right posterior sectionectomy (LRPS) [4][5][6]. LRPS is a technically challenging procedure.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic right posterior sectionectomy: single-center experience and technical aspects

D’Hondt

Ovaere

Knol

et al. 2018

Langenbecks Arch Surg

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Purpose Laparoscopic right posterior sectionectomy (LRPS) is a technically demanding procedure. The aim of this article is to share our experience with LRPS and to highlight technical aspects of this procedure. Methods This is a single-center retrospective analysis of all patients who underwent LRPS between September 2011 and October 2017. Data were retrieved from a prospectively maintained database. Video-in-picture (VIP) technology is used to facilitate and to highlight the technical aspects of this procedure. Results In total, 18 patients underwent LRPS. Indication for surgery was mainly liver metastases (n = 11) and hepatocellular carcinoma (n = 6). The Glissonean approach for inflow control was used in 13 patients. Median operative time was 162 (140-190) minutes. Median blood loss was 325 mL (IQR: 150-450). One conversion (5.5%) was required. There were two minor complications and one major complication. Median hospital stay was 6 days (range 5-8 days). All patients had an R0 resection. There was no 90-day mortality. Conclusion The results of our experience in LRPS add weight to the feasibility and safety of this approach.

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“…Laparoscopic right posterior sectionectomy. Right posterior sectionectomy in the full left lateral decubitus [41] (A). Right posterior sectionectomy in the semi-lateral decubitus [42] (B).…”

Section: A B Cunclassified

Patient and port positioning in laparoscopic liver resections

Thiruchelvam¹,

Lee²,

Chiow³

2021

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Currently, laparoscopic liver resections are routinely performed at an increasing number of centres and has extended to include major liver resections as well as more challenging segments of the liver. We believe that patient positioning and port placement is a critical yet under described component of successful laparoscopic liver resection to achieve optimal visualisation and allow for an ergonomic and safe dissection. In this article, we describe the advantages of various types of patient positioning as well as provide illustrations for an array of trocar configurations previously described in literature. Whilst there is no universally accepted standardization of port placement for various resection types, this descriptive article can serve as a guide for the various possibilities of port configurations that can be individually adapted by surgeons based on their preference as well as the patient's physique and anatomy.

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Laparoscopic Right Posterior Sectionectomy for Malignant Lesions: An Anatomic Approach

Abstract: Laparoscopic right posterior sectionectomy is technically demanding. A proper inflow and outflow control is mandatory for proper anatomical resection. This surgical principle should not be compromised in the era of laparoscopic hepatectomy.

Cited by 13 publications

References 20 publications

Comparative analysis of learning curve in complex robot-assisted and laparoscopic liver resection

Comparative analysis of learning curve in complex robot-assisted and laparoscopic liver resection

Laparoscopic right posterior sectionectomy: single-center experience and technical aspects

Patient and port positioning in laparoscopic liver resections

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