Laparoscopic versus open left hemihepatectomy for hepatolithiasis

Laparoscopic surgery for choledocholithiasis concomitant with calculus of the left intrahepatic duct or abdominal adhesions

“…Based on these findings, the present study compared open and laparoscopic procedures for choledocholithiasis combined with left lobe calculi. The mean duration of operation was 271 ± 35 min in the LCBDEH group, which was similar to that reported in previous study [9]. The average blood loss volume in the LCBDEH group (181 ml) was significantly less than that in the OCBDEH group.…”

“…Laparoscopic hepatectomy (LH) has been proven to be safe for select patients with hepatolithiasis [9,10]. However, in the case of patients who have previously undergone upper abdominal procedures or cholecystectomy, laparoscopic surgery is challenging because the exposure of common bile duct is severely restrained by the abdominal adhesion.…”

“…Laparoscopic left lateral lobe sectionectomy is one of the most common types of laparoscopic liver resections, and it is associated with reduced blood loss, earlier recovery ,and a comparable operation time to open resection [9,10,29]. Based on these findings, the present study compared open and laparoscopic procedures for choledocholithiasis combined with left lobe calculi.…”

The Southampton Consensus Guidelines for Laparoscopic Liver Surgery

“…Compared to an open approach a laparoscopic approach is associated with reduced blood loss, morbidity and hospital stay with comparable operative times, completeness of resection and mortality (41,42) See to R12…”

Surgical management of hepatolithiasis: A minireview

“…Laparoscopic hepatectomy was associated with a longer operating time, briefer hospitalization, a lower postoperative morbidity, and a higher stone clearance rate (24). Ye et al also noted similar results (25). However, Jin et al (26) suggested that laparoscopic and open hepatectomy resulted in a similar operating time, duration of postoperative hospitalization, postoperative morbidity, rate of residual stones, and rate of recurrent stones.…”