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Laparoscopic left hepatectomy with prior vascular control

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Abstract

Background

Laparoscopic major resections remain a challenge for liver surgeons. This video illustrates, step by step, our laparoscopic technique for left hepatectomy.

Methods

The control of vascular inflow and outflow as well as the division of the left hepatic duct were carried out extraparenchymally before liver transection. Between 2002 and 2008, 11 left hepatectomies were performed by laparoscopy: 7 for liver tumor and 4 for localized Caroli’s disease.

Results

Mean duration of surgery was 248 ± 25 min. Mean operative blood loss was 129 ± 42 ml. Intraoperative blood transfusion or conversion to laparotomy were never required. One postoperative biliary collection occurred and was drained percutaneously. None of the patients died. Mean hospital stay was 7.6 ± 2.2 days.

Conclusions

This technique has proved to be safe and easily reproducible.

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Author information

Authors and Affiliations

  1. Department of General Surgery, Antoine Béclère Hospital, AP-HP, 92140, Clamart, France

    Giuseppe Di Giuro, Panagiotis Lainas, Dominique Franco & Ibrahim Dagher

  2. Univ Paris-Sud, 91405, Orsay, France

    Dominique Franco & Ibrahim Dagher

  3. Department of Surgery, Antoine Béclère Hospital, 157 rue de la Porte de Trivaux, 92141, Clamart Cedex, France

    Ibrahim Dagher

Authors
  1. Giuseppe Di Giuro
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  2. Panagiotis Lainas
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  3. Dominique Franco
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  4. Ibrahim Dagher
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Corresponding author

Correspondence to Ibrahim Dagher.

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Di Giuro, G., Lainas, P., Franco, D. et al. Laparoscopic left hepatectomy with prior vascular control. Surg Endosc 24, 697–699 (2010). https://doi.org/10.1007/s00464-009-0613-1

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  • DOI: https://doi.org/10.1007/s00464-009-0613-1

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