Skip to main content
Log in

Laparoscopic Segment VI Liver Resection using a Left Lateral Decubitus Position: A Personal Modified Technique

  • how i do it
  • Published:
Journal of Gastrointestinal Surgery Aims and scope

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Background

Laparoscopic technique for lesions located in the left liver is well described in the literature. On the contrary, the best laparoscopic approach for lesions located in the right liver, such as in segment VI, is still debated.

Aim

In this article, we provide a detailed description of a laparoscopic segment VI liver resection using a left lateral decubitus position with the right side up, facilitated by a personal technique. We also discuss potential advantages and disadvantages of this procedure.

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

Access this article

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

Instant access to the full article PDF.

Figure 1
Figure 2
Figure 3
Figure 4
Figure 5

Similar content being viewed by others

Abbreviations

HCC:

Hepatocellular carcinoma

ASA:

American Society of Anesthesiology

CT:

Angio-computed tomography

HCV:

Hepatitis C virus

EGDS:

Esophagogastroduodenoscopy

References

  1. Gayet B, Cavaliere D, Viber E, et al. Totally laparoscopic right hepatectomy. Am J Surg 2007;194:685–689. Medline DOI 10.1016/j.amjsurg.2006.11.044.

    Article  PubMed  Google Scholar 

  2. Cherqui D, Husson E, Hammoud, et al. Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg 2000;232:753–762. Medline DOI 10.1097/00000658-200012000-00004.

    Article  PubMed  CAS  Google Scholar 

  3. Belli G, Fantini C, D’Agostino A, et al. Laparoscopic liver resections for hepatocellular carcinoma (HCC) in cirrhotic patients. HPB 2004;6:236–246. Medline.

    PubMed  Google Scholar 

  4. Kaneko H, Takagi S, Otsuka Y, et al. Laparoscopic liver resection of hepatocellular carcinoma. Am J Surg 2005;189:190–194. Medline DOI 10.1016/j.amjsurg.2004.09.010.

    Article  PubMed  Google Scholar 

  5. Morino M, Morra I, Rosso E, et al. Laparoscopic vs open hepatic resection. A comparative study. Surg Endosc 2003;17:1914–1918. Medline DOI 10.1007/s00464-003-9070-4.

    Article  PubMed  CAS  Google Scholar 

  6. Belli G, Fantini C, D’Agostino A, et al. Laparoscopic hepatic resection for completely exophytic hepatocellular carcinoma on cirrhosis. J Hepatobiliary Pancr Surg 2005;12(6):488–493. Medline DOI 10.1007/s00534-005-1006-z.

    Article  Google Scholar 

  7. Dulucq JL, Wintringer P, Stabilini C, et al. Laparoscopic liver resections: a single center experience. Surg Endosc 2005;19:886–891. Medline DOI 10.1007/s00464-004-2044-3.

    Article  PubMed  CAS  Google Scholar 

  8. Gigot JF, Glineur D, Azagra JS, et al. Laparoscopic liver resection for malignant liver tumors. Preliminary results of a multicenter european study. Ann Surg 2002;236:90–97. Medline DOI 10.1097/00000658-200207000-00014.

    Article  PubMed  Google Scholar 

  9. Belli G, Fantini C, D’Agostino A, et al. Laparoscopic liver resection without Pringle Maneuver for HCC in cirrhotic patients. Chir Ital 2005;57(1):15–25. Medline.

    PubMed  Google Scholar 

  10. Azagra JS, Goergen M, Gilbart E, et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy—technical aspects. Surg Endosc 1996;10:758–761. Medline.

    PubMed  CAS  Google Scholar 

  11. Lesurtel M, Cherqui D, Laurent A, et al. Laparoscopic versus open left lateral hepatic lobectomy: a case-control study. J Am Coll Surg 2003;196:236–42. Medline DOI 10.1016/S1072-7515(02)01622-8.

    Article  PubMed  Google Scholar 

  12. Belli G, Fantini C, D’Agostino A, et al. Laparoscopic left lateral hepatic lobectomy: a safer and faster technique. J Hepatobiliary Pancr Surg 2006;13(2):149–154. Medline DOI 10.1007/s00534-005-1023-y.

    Article  Google Scholar 

  13. Chang S, Laurent A, Tayar C, et al. Laparoscopy as a routine approach for left lateral sectionectomy. Br J Surg 2007;94:58–63. Medline DOI 10.1002/bjs.5562.

    Article  PubMed  CAS  Google Scholar 

  14. Huscher CGS, Napolitano C, Chiodini S, et al. Hepatic resections through the laparoscopic approach. Ann Ital Chir 1997;6:791–797.

    Google Scholar 

  15. Buell JF, Thomas MJ, Doty TC, et al. An initial experience and evolution of laparoscopic hepatic resectional surgery. Surgery 2004;136:804–811. Medline DOI 10.1016/j.surg.2004.07.002.

    Article  PubMed  Google Scholar 

  16. Kamiyama T, Kurauchi N, Nakagawa T, et al. Laparoscopic hepatectomy with the hook blade of ultrasonic coagulating shears and bipolar cautery with a saline irrigation system. J Hepatobiliary Pancr Surg 2005;12:49–54. Medline DOI 10.1007/s00534-004-0934-3.

    Article  Google Scholar 

  17. Ker CG, Chen HY, Juan CC, et al. Laparoscopic subsegmentectomy for hepatocellular carcinoma with cirrhosis. Hepatogastroenterology 2000;47:1260–1263. Medline.

    PubMed  CAS  Google Scholar 

  18. Gagner M, Pomp A, Heniford T, et al. Laparoscopic adrenalectomy. Lessons learned from 100 consecutive procedures. Ann Surg 1997;226:238–247. Medline DOI 10.1097/00000658-199709000-00003.

    Article  PubMed  CAS  Google Scholar 

  19. Strasberg SM, Belghiti J, Clavien PA, et al. The Brisbane 2000 terminology of liver anatomy and resections. Terminology Committee of the International Hepato-Pancreato-Biliary Association. HPB 2000;2:333–339.

    Google Scholar 

  20. Buell JF, Koffron AJ, Thomas MJ, et al. Laparoscopic liver resection. J Am Coll Surg 2005;200(3):472–480. Medline DOI 10.1016/j.jamcollsurg.2004.10.017.

    Article  PubMed  Google Scholar 

  21. Vibert E, Perniceni T, Levard H, et al. Laparoscopic liver resection. Br J Surg 2006;93:67–72. Medline DOI 10.1002/bjs.5150.

    Article  PubMed  CAS  Google Scholar 

  22. Belli G, Fantini C, D’Agostino A, et al. Laparoscopic versus open liver resection for hepatocellular carcinoma in patients with histologically proven cirrhosis: short and middle term results. Surg Endosc 2007;21(11):2004–1011. Medline DOI 10.1007/s00464-007-9503-6.

    Article  PubMed  CAS  Google Scholar 

  23. Santambrogio R, Opocher E, Ceretti AP, et al. Impact of intraoperative ultrasonography in laparoscopic liver surgery. Surg Endosc 2007;21(2):181–188. Medline DOI 10.1007/s00464-005-0738-9.

    Article  PubMed  CAS  Google Scholar 

  24. Belli G, D’Agostino A, Fantini C, et al. Laparoscopic radiofrequency ablation combined with laparoscopic liver resection for more than one HCC on cirrhosis. Surg Laparosc Endosc Percutan Tech 2007;17(4):331–334. Medline DOI 10.1097/SLE.0b013e31806d9c65.

    Article  PubMed  Google Scholar 

  25. Cherqui D, Laurent A, Tayar C, et al. Laparoscopic liver resection for peripheral hepatocellular carcinoma in patients with chronic liver disease: midterm results and perspectives. Ann Surg 2006;243:499–506. Medline DOI 10.1097/01.sla.0000206017.29651.99.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Giulio Belli.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Belli, G., Fantini, C., D’Agostino, A. et al. Laparoscopic Segment VI Liver Resection using a Left Lateral Decubitus Position: A Personal Modified Technique. J Gastrointest Surg 12, 2221–2226 (2008). https://doi.org/10.1007/s11605-008-0537-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11605-008-0537-4

Keywords

Navigation