Journal of Hepato-Biliary-Pancreatic Surgery

, Volume 16, Issue 4, pp 422–426

Laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3): towards the “gold standard”

  • J. S. Azagra
  • M. Goergen
  • S. Brondello
  • M. O. Calmes
  • P. Philippe
  • B. Schmitz
Topics Current status and future of laparoscopic liver resection

DOI: 10.1007/s00534-009-0117-3

Cite this article as:
Azagra, J.S., Goergen, M., Brondello, S. et al. J Hepatobiliary Pancreat Surg (2009) 16: 422. doi:10.1007/s00534-009-0117-3

Abstract

Background

The purpose of this article is to define the state of the art in laparoscopic liver sectionectomy 2 and 3 (LLS 2 and 3) in order to advance the good option towards the “gold standard”.

Methods

Based on a large review of the literature as well as on our personal experience the authors define clearly: the feasibility and the effectiveness of LLS 2 and 3.

Results

In this review the conversion rate was <4%, the histological positive margins was <0.8%, and the mortality was inferior to 0.8%.

Conclusion

The LLS 2 and 3 seem equivalent or perhaps better option compared with the same intervention performed by laparotomy and can be proposed as primary with a grade C recommendation.

Keywords

LaparoscopyLiver resectionsLeft liver bisectionectomyLiver segments 2 and 3

Copyright information

© Springer 2009

Authors and Affiliations

  • J. S. Azagra
    • 1
  • M. Goergen
    • 1
  • S. Brondello
    • 1
  • M. O. Calmes
    • 1
  • P. Philippe
    • 1
  • B. Schmitz
    • 1
  1. 1.Digestive and Endocrine Multidisciplinary Unit (UMADE)Centre Hospitalier de Luxembourg (CHL)LuxembourgLuxembourg