Laparoscopic Left Lateral Segmentectomy

  • Xiujun Cai


In 1996, laparoscopic left lateral segmentectomy was reported by Azagra et al. (1996). For now, this procedure can be performed in most institutes of hepato-biliary-pancreatic surgery worldwide. Furthermore, laparoscopic left lateral segmentectomy was supposed to be a standard practice according to “The Louisville Statement” (Buell et al. 2009). Management of the hepatic pedicle is the point of this laparoscopic procedure. In some cases, the branches of the hepatic artery could be dissected outside the liver parenchyma before liver transection. The falciform ligament (FL) and the fissure for ligamentum teres (FLT) are the anatomical lines for liver transection along which the secondary branches of the portal vein and the hepatic artery can be well managed by meticulous dissection and the left lateral segment can be anatomically resected.


Bile Duct Hepatic Artery Bile Duct Stone Secondary Branch Bile Duct Stricture 
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Supplementary material

Video 3.1

(MP4 522077 kb)


  1. Azagra JS, Goergen M, Gilbart E, et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects. Surg Endosc. 1996;10:758–61.CrossRefPubMedGoogle Scholar
  2. Buell JF, Cherqui D, Geller DA, et al. The international position on laparoscopic liver surgery: the Louisville Statement, 2008. Ann Surg. 2009;250:825–30.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht and Zhejiang University Press 2015

Authors and Affiliations

  • Xiujun Cai
    • 1
  1. 1.Department of General SurgerySir Run Run Shaw Hospital Zhejiang UniversityHangzhouChina

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