Laparoscopic hepatic resection

  • G. Borzellino
  • A. Ruzzenente
  • A.- M. Minicozzi
  • F. Giovinazzo
  • C. Pedrazzani
  • A. Guglielmi



Although laparoscopy in general surgery is increasingly being performed, only recently has liver surgery been performed with laparoscopy. We critically review our experience with laparoscopic liver resections.


From January 2000 to April 2004, we performed laparoscopic hepatic resection in 16 patients with 18 hepatic lesions. Nine lesions were benign in seven patients (five hydatid cysts, three hemangiomas, and one simple cyst), five were malignant in five patients (five hepatocarcinoma), and four patients had an uncertain preoperative diagnosis (one suspected hemangioma and three suspected adenomas). The mean lesion size was 5.2 cm (range, 1–12). Twelve lesions were located in the left lobe, three were in segment VI, one was in segment V, one was in segment IV, and one was in the subcapsular part of segment VIII.


The conversion rate was 6.2%; intraoperative bleeding requiring blood transfusions occurred in two patients. Mean operative time was 120 min. Mean hospital stay was 4 days (range, 2–7). There were no major postoperative complications and no mortality.


Hepatic resection with laparoscopy is feasible in malignant and benign hepatic lesions located in the left lobe and anterior inferior right lobe segments (IV, V, and VI). Results are similar to those of the open surgical technique in carefully selected cases, although studies with large numbers of patients are necessary to drawn definite conclusions.


Laparoscopy Liver resection 


  1. 1.
    Abdel-Atty MY, Farges O, Jagot P, Belghiti J (1999) Laparoscopy extends the indications for liver resection in patients with cirrhosis. Br J Surg 86: 1397–1400CrossRefPubMedGoogle Scholar
  2. 2.
    Berends FJ, Meijer S, Prevoo W, Bonjer HJ, Cuesta MA (2001) Technical considerations in laparoscopic liver surgery. A solid organ easily forgotten. Surg Endosc 15: 794–798CrossRefPubMedGoogle Scholar
  3. 3.
    Berthio L, Waage A, Gagner M (2002) Hépatectomies sous laparoscopie. Ann Chir 127: 164–170CrossRefGoogle Scholar
  4. 4.
    Bickel A, Loberant N, Singer-Jordan J, Goldfeld M, Daud G, Eitan A (2001) The laparoscopic approach to abdominal hydatid cysts. Arch Surg 136: 789–795CrossRefPubMedGoogle Scholar
  5. 5.
    Casado OA, Gonzales EM, Segurola CL, Calvo AG, Pinto IG, Saborido BP, Crespo GP, Johansson CO (2000) Results of 22 years of experience in radical surgical treatment of hepatic hydatid cysts. Hepato-Gastroenterology 48: 235–243Google Scholar
  6. 6.
    Cherqui D, (2002) Résections hépatiques par voie coelioscopique. Utiles ou futiles? Ann Chir 127: 171–174CrossRefGoogle Scholar
  7. 7.
    Cherqui D, Husson E, Hammoud R, Malassagne B, Stéphan F, Bensaid S, Rotman N, Fagniez PL (2000) Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 6: 753–762CrossRefGoogle Scholar
  8. 8.
    Croce E, Azzola M, Russo R, Golia M, Angelini S, Olmi S (1994) Laparoscopic liver resection with the argon beam. Endosc Surg Allied Technol 2: 186–188PubMedGoogle Scholar
  9. 9.
    Descottes B, Glineur D, Lachachi F, et al (2003) Laparoscopic liver resection of benign liver tumors. Surg Endosc 17: 23–30CrossRefPubMedGoogle Scholar
  10. 10.
    Descottes B, Lachachi F, Durand-Fontanier S, Sodji M, Pech de Laclause B, Valleix D (2000) Traitement laparoscopique des tumeurs solides ete kystiques du foie. Etude de 33 cas. Ann Chir 125: 941–947Google Scholar
  11. 11.
    Ertem M, Uras C, Karahasanoglu T, Erguney S, Alemdaroglu K (1998) Laparoscopic approach to hepatic hydatid disease. Dig Surg 15: 333–336CrossRefPubMedGoogle Scholar
  12. 12.
    Farges O, Jagot P, Kirstetter P, Marty J, Belghiti J (2002) Prospective assessment of the safety and benefit of laparoscopic liver resections. J Hepatobiliary Pancreat Surg 9: 242–248CrossRefPubMedGoogle Scholar
  13. 13.
    Gigot JF, Glineur D, Santiago Azagra J, et al Hepatobiliary and Pancreatic Section of the Royal Belgian Society of Surgery and the Belgian Group for Endoscopic Surgery (2002) Laparoscopic liver resection for malignant liver tumors: preliminary results of a multicenter European study. Ann Surg 236: 90–97CrossRefPubMedGoogle Scholar
  14. 14.
    Hashizume M, Takenaka K, Yanaga K, Ohta M, Kajiyama K, Shirabe K, Itasaka H, Nishizaki T, Sugimachi K (1995) Laparoscopic hepatic resection for hepatocellular carcinoma. Surg Endosc 9: 1289–1297CrossRefPubMedGoogle Scholar
  15. 15.
    Huscher CGS, Lirici MM, Chiodini S (1998) Laparoscopic liver resection. Semin Laparoscopic Surg 5: 204–210Google Scholar
  16. 16.
    Kalil AN, Mastalir ET (2002) Laparoscopic hepatectomy for benign liver tumors. Hepato-Gastroenterology 49: 803–805PubMedGoogle Scholar
  17. 17.
    Katkhouda N, Mavor E (2000) Laparoscopic management of benign liver disease. Surg Clin North Am 80: 1203–1211CrossRefPubMedGoogle Scholar
  18. 18.
    Ker CG, Chen HY, Juan CC, Chang WS, Tsai CY, Lo HW, Yau MT (2000) Laparoscopic subsegmentectomy for hepatocellular carcinoma with cirrhosis. Hepato-Gastroenterology 47: 1260–1263PubMedGoogle Scholar
  19. 19.
    La Porte L, Hamy A, Paineau J, Visset J (1996) Chirurgie coelioscopique pour tumeur bénigne du foie. J Chir 9/10: 432–436Google Scholar
  20. 20.
    Mala T, Edwin B, Gladhaug I, Fosse E, Soreide O, Bergan A, Mathisen O (2002) A comparative study of the short-term outcome following open and laparoscopic liver resection of colorectal metastases. Surg Endosc 16: 1059–1063CrossRefPubMedGoogle Scholar
  21. 21.
    Manterola C, Fernandez O, Munoz S, Vial M, Losada H, Carrasco R, Bello N, Barroso M (2002) Laparoscopic pericystectomy for liver hydatid cysts. Description of results observed during long follow-up period. Surg Endosc 16: 521–524CrossRefPubMedGoogle Scholar
  22. 22.
    Mouiel J, Katkhouda N, Gugenheim J, Fabiani P (2000) Possibilities of laparoscopic liver resection. J Hepatobiliary Pancreat Surg 7: 1–8CrossRefPubMedGoogle Scholar
  23. 23.
    Rau HG, Buttler E, Meyer G, Schardey HM, Schildberg FW (1998) Laparoscopic liver resection compared with conventional partial hepatectomy—a prospective analysis. Hepato-Gastroenterology 45: 2333–2338PubMedGoogle Scholar
  24. 24.
    Seven R, Berber E, Mercan S, Eminoglu L, Budak D (2000) Laparoscopic treatment of hepatic hydatid cysts. Surgery 128: 36–40CrossRefPubMedGoogle Scholar
  25. 25.
    Shimada M, Hashizume M, Maehara S, Tsujita E, Rikimaru T, Yamashita Y, Tanaka S, Adachi E, Sugimachi K (2001) Laparoscopic hepatectomy for hepatocellular carcinoma. Surg Endosc 15: 541–544CrossRefPubMedGoogle Scholar
  26. 26.
    Yamanaka N, Tanaka T, Tanaka W, Yamanaka J, Yasui C, Ando T, Takada M, Maeda S, Okamoto E (1998) Laparoscopic partial hepatectomy. Hepato-Gastroenterology 45: 29–33PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • G. Borzellino
    • 1
  • A. Ruzzenente
    • 1
  • A.- M. Minicozzi
    • 1
  • F. Giovinazzo
    • 1
  • C. Pedrazzani
    • 1
  • A. Guglielmi
    • 1
  1. 1.First Department of General SurgeryUniversity of VeronaItaly

Personalised recommendations