Skip to main content
SpringerLink
Log in

Laparoscopic surgery of postero-lateral segments: a comparison between transthoracic and abdominal approach

  • Review Article
  • Published:
Updates in Surgery Aims and scope Submit manuscript

Abstract

Lesions located in the postero-lateral part of the liver (segments 6 and 7) have been considered as poor candidates for a laparoscopic liver resection due to the limited visualization and difficulty in bleeding control. Although no comparison has been done between transthoracic and abdominal resection of tumors located in the postero-lateral segments, we propose a description of these different strategies, specifying the benefits as well as the disadvantages of the various approaches.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Nguyen KT, Gamblin TC, Geller DA (2009) World review of laparoscopic liver resection 2804 patients. Ann Surg 250:831–841

    Article  PubMed  Google Scholar 

  2. Belli G, Limongelli P, Fantini C, D’Agostino A, Cioffi L, Belli A et al (2009) Laparoscopic and open treatment of hepatocellular carcinoma in patients with cirrhosis. Br J Surg 96:1041–1048

    Article  CAS  PubMed  Google Scholar 

  3. Castaing D, Vibert E, Ricca L, Azoulay D, Adam R, Gayet B (2009) Oncologic results of laparoscopic versus open hepatectomy for colorectal liver metastases in two specialized centers. Ann Surg 250:849–855

    Article  PubMed  Google Scholar 

  4. Croome KP, Yamashita MH (2010) Laparoscopic vs open hepatic resection for benign and malignant tumors: an updated meta-analysis. Arch Surg 145:1109–1118

    Article  PubMed  Google Scholar 

  5. Topal B, Fieuws S, Aerts R, Vandeweyer H, Penninckx F (2008) Laparoscopic versus open liver resection of hepatic neoplasms: comparative analysis of short-term results. Surg Endosc 22:2208–2213

    Article  CAS  PubMed  Google Scholar 

  6. Buell JF, Thomas MT, Rudich S, Marvin M, Nagubandi R, Ravindra KV et al (2008) Experience with more than 500 minimally invasive hepatic procedures. Ann Surg 248:475–486

    PubMed  Google Scholar 

  7. Cho JY, Han HS, Yoon YS, Shin SH (2008) Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location. Surgery 144:32–38

    Article  PubMed  Google Scholar 

  8. Yoon YS, Han HS, Choi YS, Jang JY, Suh KS, Kim SW et al (2006) Total laparoscopic right posterior sectionectomy for hepatocellular carcinoma. J Laparoendosc Adv Surg Tech A 16:274–277

    Article  PubMed  Google Scholar 

  9. Han HS, Cho JY, Yoon YS (2009) Techniques for performing laparoscopic liver resection in various hepatic locations. J Hepatobiliary Pancreat Surg 16:427–432

    Article  PubMed  Google Scholar 

  10. Herman P, Krüger JAP, Perini MV, Coelho FF, Lupinacci RM (2013) Laparoscopic hepatic posterior sectionectomy: a hand-assisted approach. Ann Surg Oncol 20:1266

    Article  PubMed  Google Scholar 

  11. Casaccia M, Andorno E, Di Domenico S, Santori G, Fazio F, Gelli M, Valente U (2012) Laparoscopic right posterior sectionectomy for hepatocellular carcinoma using a modified liver-hanging maneuver. J Laparoendosc Adv Surg Tech A 22:488–491

    Article  PubMed  Google Scholar 

  12. Giulianotti PC, Coratti A, Sbrana F, Addeo P, Bianco FM, Buchs NC et al (2011) Robotic liver surgery: results for 70 resections. Surgery 149:29–39

    Article  PubMed  Google Scholar 

  13. Vibert E, Perniceni T, Levard H, Denet C, Shahri NK, Gayet B (2006) Laparoscopic liver resection. Br J Surg 93:67–72

    Article  CAS  PubMed  Google Scholar 

  14. Teramoto K, Kawamura T, Takamatsu S, Noguchi N, Nakamura N, Arii S (2003) Laparoscopic and thoracoscopic partial hepatectomy for hepatocellular carcinoma. World J Surg 27:1131–1136

    Article  PubMed  Google Scholar 

  15. Antonetti MC, Killelea B, Orlando R 3rd (2002) Hand-assisted laparoscopic liver surgery. Arch Surg 137:407–411

    Article  PubMed  Google Scholar 

  16. Fong Y, Jarnagin W, Conlon KC, DeMatteo R, Dougherty E, Blumgart LH (2000) Hand-assisted laparoscopic liver resection: lessons from an initial experience. Arch Surg 135:854–859

    Article  CAS  PubMed  Google Scholar 

  17. Inagaki H, Kurokawa T, Nonami T, Sakamoto J (2003) Hand-assisted laparoscopic left lateral segmentectomy of the liver for hepatocellular carcinoma with cirrhosis. J Hepatobiliary Pancreat Surg 10:295–298

    Article  PubMed  Google Scholar 

  18. Huang MT, Lee WJ, Wang W, Wei PL, Chen RJ (2003) Hand-assisted laparoscopic hepatectomy for solid tumor in the posterior portion of the right lobe: initial experience. Ann Surg 238:674–679

    Article  PubMed Central  PubMed  Google Scholar 

  19. Dulucq JL, Wintringer P, Stabilini C, Berticelli J, Mahajna A (2005) Laparoscopic liver resections: a single center experience. Surg Endosc 19:886–891

    Article  CAS  PubMed  Google Scholar 

  20. Makuuchi M, Yamamoto J, Takayama T, Kosuge T, Gunvén P, Yamazaki S et al (1991) Extrahepatic division of the right hepatic vein in hepatectomy. Hepatogastroenterology 38:176–179

    CAS  PubMed  Google Scholar 

  21. Ishizawa T, Kokudo N, Makuuchi M (2008) Right hepatectomy for hepatocellular carcinoma: is the anterior approach superior to the conventional approach? Ann Surg 247:390–391

    Article  PubMed  Google Scholar 

  22. Ikeda T, Toshima T, Harimoto N, Yamashita Y, Ikegami T, Yoshizumi T et al (2014) Laparoscopic liver resection in the semiprone position for tumors in the anterosuperior and posterior segments, using a novel dual-handling technique and bipolar irrigation system. Surg Endosc 28:2484–2492

    Article  PubMed Central  PubMed  Google Scholar 

  23. Yoon YS, Han HS, Cho JY, Ahn KS (2010) Total laparoscopic liver resection for hepatocellular carcinoma located in all segments of the liver. Surg Endosc 24:1630–1637

    Article  PubMed  Google Scholar 

  24. Kazaryan AM, Røsok BI, Marangos IP, Rosseland AR, Edwin B (2011) Comparative evaluation of laparoscopic liver resection for posterosuperior and anterolateral segments. Surg Endosc 25:3881–3889

    Article  PubMed Central  PubMed  Google Scholar 

  25. Si Y, Lau WY, Li GG, Tang QH, Li AJ, Pan ZY et al (2011) A prospective randomized controlled trial to compare Pringle maneuver, hemihepatic vascular inflow occlusion, and main portal vein inflow occlusion in partial hepatectomy. Am J Surg 201:62–69

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Digestive Disease, Institut Mutualiste Montsouris, Université Paris-Descartes, 42 Boulevard Jourdan, 75014, Paris, France

    David Fuks & Brice Gayet

Authors
  1. David Fuks
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Brice Gayet
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to David Fuks.

Ethics declarations

Conflict of interest

DF and BG have no conflict of interest.

Research involving human participants and/or animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study formal consent form is not required.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Fuks, D., Gayet, B. Laparoscopic surgery of postero-lateral segments: a comparison between transthoracic and abdominal approach. Updates Surg 67, 141–145 (2015). https://doi.org/10.1007/s13304-015-0320-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13304-015-0320-5

Keywords

Search

Navigation