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

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Abstract

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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Abbreviations

LRPS:

Laparoscopic right posterior sectionectomy

VIP:

Video-in-picture

CVP:

Central venous pressure

IOUS:

Intraoperative ultrasonography

RHV:

Right hepatic vein

IQR:

Interquartile range

ERCP:

Endoscopic retrograde cholangiopancreatography

LLR:

Laparoscopic liver resection

HPB:

Hepato-pancreato-biliary

HCC:

Hepatocellular carcinoma

CRLM:

Colorectal liver metastasis

LHV:

Left hepatic vein

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Acknowledgements

Video-in-picture technology (Non-profit iLappSurgery Foundation, Hasselt, Belgium) was used as an educational video tool.

Author information

Authors and Affiliations

  1. Department of Digestive and Hepatobiliary/Pancreatic Surgery, Groeninge Hospital, President Kennedylaan 4, 8500, Kortrijk, Belgium

    Mathieu D’Hondt, Sander Ovaere, Mathieu Vandeputte, Celine De Meyere & Franky Vansteenkiste

  2. Department of Abdominal Surgery, Jessa Hospital, Salvatorstraat 20, 3500, Hasselt, Belgium

    Joep Knol

  3. Department of Oncology and Statistics, Groeninge Hospital, President Kennedylaan 4, Kortrijk, Belgium

    Isabelle Parmentier

  4. Department of Surgery, Cancer Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands

    Marc Besselink

  5. Interdisciplinary Research Center, Leuven University Campus, Kortrijk, Belgium

    Hans Pottel

  6. Department of Gastroenterology and Hepatology, KU Leuven, Leuven, Belgium

    Chris Verslype

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  1. Mathieu D’Hondt
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  2. Sander Ovaere
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Contributions

MD participated in the study conception and design. MD, SO, and MV participated in the analysis and interpretation of data. All authors participated in the acquisition of data, drafting of the manuscript, and critical revision of the manuscript.

Corresponding author

Correspondence to Mathieu D’Hondt.

Ethics declarations

This article was written in accordance with the ethical standards of the institutional review board and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent was obtained from all human subjects as is the standard of care and as with compliance with institution guidelines.

Conflicts of interest

The authors declare that they have no conflict of interest.

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D’Hondt, M., Ovaere, S., Knol, J. et al. Laparoscopic right posterior sectionectomy: single-center experience and technical aspects. Langenbecks Arch Surg 404, 21–29 (2019). https://doi.org/10.1007/s00423-018-1731-9

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  • DOI: https://doi.org/10.1007/s00423-018-1731-9

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