Total laparoscopic management of lesions involving liver segment 7

Abstract

Although resection of lesions in s7 is technically demanding, a laparoscopic approach can be performed safely and effectively in experienced hands.

Propensity score-based analysis of outcomes of laparoscopic versus open liver resection for colorectal metastases

“…A purely laparoscopic procedure was attempted in all patients and no hybrid techniques were used. The surgical technique for laparoscopic left lateral sectionectomy, major formal hemihepatectomies and resections in posterosuperior segments has been described. Open liver resections were performed routinely through a right subcostal J‐shaped incision with the use of a LOTUS® (laparoscopic operation by tortional ultrasound) ultrasonic dissector (S.R.A Developments, Ashburton, UK) and CUSA® (Cavitron ultrasonic surgical aspirator; Integra, Plainsboro, New Jersey, USA).…”

Outcome after laparoscopic and open resections of posterosuperior segments of the liver

“…LLR for posterosuperior (PS) segments (segments I, IVa, VII and VIII) is challenging. Curvilinear resection surfaces are required for a parenchyma‐preserving approach. Technical difficulties relate to the limited working space and exposure of the deepest liver parenchyma for transection surfaces close to the diaphragm, difficulties in evaluating the resection margin by ultrasonography, and control of haemorrhage from the tributaries of major hepatic veins and inferior vena cava.…”

Intermittent Pringle maneuver versus continuous hemihepatic vascular inflow occlusion using extra-glissonian approach in laparoscopic liver resection

“…Long-term results show that oncological benefits of a laparoscopic approach are similar to open surgery [23][24][25]. With the improvement in laparoscopic [6,7] and the accumulation of clinical experience in laparoscopic and hepatic surgery, the indications for laparoscopic liver resection are expanding, including the type of resection and the size or location of the tumor [26,27]. Although many limitations have been overcome, bleeding is still the most important problem that hinders the development of laparoscopic liver resection.…”