Laparoscopic right posterior sectionectomy: single-center experience and technical aspects

Abstract

PurposeLaparoscopic 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.MethodsThis 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.ResultsIn 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 325mL (IQR: 150-450). One conversion (5.5%) was required. There were two minor complications and one major complication. Median hospital stay was 6days (range 5-8days). All patients had an R0 resection. There was no 90-day mortality.ConclusionThe results of our experience in LRPS add weight to the feasibility and safety of this approach.