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Laparoscopic left lateral sectionectomy as a training procedure for surgeons learning laparoscopic hepatectomy

  • Original article
  • Published:
Journal of Hepato-Biliary-Pancreatic Sciences

Abstract

Background

Laparoscopic liver resection remains limited to a relatively small number of institutions because of insufficient hepatic and laparoscopic surgical experience and few training opportunities. The aim of this study was to assess the feasibility and safety of an improved laparoscopic left lateral sectionectomy technique as a training procedure for new surgeons.

Methods

Twenty-four laparoscopic left lateral sectionectomies (LLLSs) were retrospectively reviewed. Patients were divided into 3 groups with 8 patients in each: those undergoing surgery by expert surgeons prior to 2008 (Group A); those undergoing surgery by expert surgeons after 2008, when a standardized LLLS technique was adopted (Group B); and those undergoing LLLS by junior surgeons being trained (Group C).

Results

The median operative time was significantly shorter for Group B (103 min; range, 99–109 min) and C (107 min; range, 85–135 min) patients than for Group A (153 min; range, 95–210 min) patients. There were no significant differences in blood loss or hospital stay. In Groups B and C, no conversions to open laparotomy or complications occurred.

Conclusion

The standardized LLLS procedure was both safe and feasible as a technique for training surgeons in laparoscopic hepatectomy.

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Conflict of interest

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Author information

Authors and Affiliations

  1. Department of Surgery, Iwate Medical University School of Medicine, 19-1, Uchimaru, Morioka city, Iwate, 020-8505, Japan

    Yasushi Hasegawa, Hiroyuki Nitta, Akira Sasaki, Takeshi Takahara, Naoko Ito, Tomohiro Fujita, Shoji Kanno, Satoshi Nishizuka & Go Wakabayashi

Authors
  1. Yasushi Hasegawa
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  2. Hiroyuki Nitta
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  3. Akira Sasaki
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  4. Takeshi Takahara
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  5. Naoko Ito
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  6. Tomohiro Fujita
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  7. Shoji Kanno
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  8. Satoshi Nishizuka
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  9. Go Wakabayashi
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Correspondence to Hiroyuki Nitta.

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Hasegawa, Y., Nitta, H., Sasaki, A. et al. Laparoscopic left lateral sectionectomy as a training procedure for surgeons learning laparoscopic hepatectomy. J Hepatobiliary Pancreat Sci 20, 525–530 (2013). https://doi.org/10.1007/s00534-012-0591-x

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  • DOI: https://doi.org/10.1007/s00534-012-0591-x

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