[Primary experience of the anatomical laparoscopic left lateral hepatic lobectomy procedure for benign and malignant liver tumors].
OBJECTIVE
To assess the feasibility, safety and outcome of anatomical laparoscopic left lateral hepatic lobectomy for benign and malignant liver tumors.


METHODS
From April 2005 to May 2008, 11 patients (7 male, 4 female; mean age 51.7 years) underwent anatomical laparoscopic left lateral hepatic lobectomy. Four patients presented with hepatocellular carcinoma and cirrhosis, while 1 patient had metastatic liver tumors from postoperatively colon cancer, five patients had hemangioma (2 cases with gallstones underwent cholecystectomy), 1 patient had a huge symptomatic angiolipoleiomyoma. Mean tumor size was 5.8 cm (range 2.1 to 12.0 cm). All the lesions were localized in the anatomical left lateral lobe (segments II to III).


RESULTS
The mean operative time was 147 min (range 120 to 180 min). There were no intraoperative or postoperative complications, and blood transfusions were not required. The mean postoperative hospital stay was 5.9 days.


CONCLUSIONS
Anatomical laparoscopic left lateral hepatic lobectomy are feasible and safety.
Wang
Lu
L
Department of Liver Surgery, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai 200032, China. wang.lu@zs-hospital.sh.cn
Fan
Jia
J
Qin
Lun-xiu
LX
Sun
Hui-chuan
HC
Ye
Qing-hai
QH
Wu
Jin-cai
JC
Bai
Dou-sheng
DS
Wang
Xiao-ying
XY
He
Yi-feng
YF
Pan
Qi
Q
Chen
Pei
P
Zhou
Jian
J
Tang
Zhao-you
ZY
D000328:Adult; D000368:Aged; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome