A Conceptual Technique for Laparoscopic Right Hepatectomy Based on Facts and Oncologic Principles

Abstract

This study showed that several evidence-based facts could be combined to define a new conceptual technique of laparoscopic right hepatectomy allowing for low blood loss and morbidity.

Laparoscopic versus open major hepatectomy for hepatocellular carcinoma: a matched pair analysis

“…Laparoscopic hepatectomy was introduced in 2000, and approximately 300 procedures have been performed, including 80 live donor hepatectomies by our team [17][18][19][20]25]. Laparoscopic procedures, including detailed techniques and concepts, have been sequentially refined and standardized [20,25], with LMH introduced in 2003.…”

Bleeding control during laparoscopic liver resection: a review of literature

“…Recently, Soubrane et al [57] reported the use of a standardized anterior approach in 30 patients that underwent a laparoscopic right hepatectomy. So far, there is not enough evidence in the literature to support the anterior approach as a gold standard method; however, this approach is undoubtedly becoming popular.…”

Laparoskopische Leberchirurgie

“…Während anfänglich das Pringle-Manö-ver routinemäßig eingesetzt wurde, verzichten immer mehr Zentren auf diese Möglichkeit der Einflusskontrolle [25,27]. Trotzdem bietet die Kontrolle der Leberpforte durch die gute Darstellbarkeit der extraparenchymatösen Gefäßstruk-turen eine wichtige Möglichkeit der Ein-Abb.…”

“…Daher ist diese Positionierung mit geringer Variation für die Resektion der anterioren Segmente und die rechts-wie linksseitige Hemihepatektomie geeignet [10,27].…”