TY - JOUR
T1 - Laparoscopic right posterior sectionectomy: single-center experience and technical aspects
AU - D’Hondt, Mathieu
AU - Ovaere, Sander
AU - Knol, Joep
AU - Vandeputte, Mathieu
AU - Parmentier, Isabelle
AU - de Meyere, Celine
AU - Vansteenkiste, Franky
AU - Besselink, Marc
AU - Pottel, Hans
AU - Verslype, Chris
PY - 2019
Y1 - 2019
N2 - Purpose: Laparoscopic right posterior sectionectomy (LRPS) is a technically demanding procedure. The aim of this article is to share our experience with LRPS and to highlight technical aspects of this procedure. Methods: This is a single-center retrospective analysis of all patients who underwent LRPS between September 2011 and October 2017. Data were retrieved from a prospectively maintained database. Video-in-picture (VIP) technology is used to facilitate and to highlight the technical aspects of this procedure. Results: In total, 18 patients underwent LRPS. Indication for surgery was mainly liver metastases (n = 11) and hepatocellular carcinoma (n = 6). The Glissonean approach for inflow control was used in 13 patients. Median operative time was 162 (140–190) minutes. Median blood loss was 325 mL (IQR: 150–450). One conversion (5.5%) was required. There were two minor complications and one major complication. Median hospital stay was 6 days (range 5–8 days). All patients had an R0 resection. There was no 90-day mortality. Conclusion: The results of our experience in LRPS add weight to the feasibility and safety of this approach.
AB - Purpose: Laparoscopic right posterior sectionectomy (LRPS) is a technically demanding procedure. The aim of this article is to share our experience with LRPS and to highlight technical aspects of this procedure. Methods: This is a single-center retrospective analysis of all patients who underwent LRPS between September 2011 and October 2017. Data were retrieved from a prospectively maintained database. Video-in-picture (VIP) technology is used to facilitate and to highlight the technical aspects of this procedure. Results: In total, 18 patients underwent LRPS. Indication for surgery was mainly liver metastases (n = 11) and hepatocellular carcinoma (n = 6). The Glissonean approach for inflow control was used in 13 patients. Median operative time was 162 (140–190) minutes. Median blood loss was 325 mL (IQR: 150–450). One conversion (5.5%) was required. There were two minor complications and one major complication. Median hospital stay was 6 days (range 5–8 days). All patients had an R0 resection. There was no 90-day mortality. Conclusion: The results of our experience in LRPS add weight to the feasibility and safety of this approach.
UR - https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056851523&origin=inward
UR - https://www.ncbi.nlm.nih.gov/pubmed/30465088
U2 - https://doi.org/10.1007/s00423-018-1731-9
DO - https://doi.org/10.1007/s00423-018-1731-9
M3 - Article
C2 - 30465088
SN - 1435-2443
VL - 404
SP - 21
EP - 29
JO - Langenbeck s archives of surgery / Deutsche Gesellschaft fur Chirurgie
JF - Langenbeck s archives of surgery / Deutsche Gesellschaft fur Chirurgie
IS - 1
ER -