title: Intrahepatic glissonian approach for single-port laparoscopic liver resection.
abstract: BACKGROUND
  Minimal access surgery is moving toward reduced size and fewer ports. The aim of this article is to describe our experience with the intrahepatic Glissonian approach for single-port laparoscopic left lateral sectionectomy.
  
  
  METHODS
  We have performed this procedure on 8 consecutive patients. A transumbilical incision is performed, and a single-incision platform is introduced. The operation begins with ultrasound examination of the liver. Intrahepatic Glissonian access of the portal pedicle from segments 2 and 3 is performed, and the pedicle is divided with a stapler. The liver is transected, and the left hepatic vein is divided with a stapler. A surgical specimen is retrieved through the single umbilical incision. No drains are left in place.
  
  
  RESULTS
  The median operative time was 68 minutes, and there was minimal bleeding. The median hospital stay was 1 day. Six patients were operated on for liver adenoma. There was no morbidity or mortality. During follow-up (median, 12 months), no patient developed incisional hernia. The cosmetic appearance of the incision was excellent in all cases.
  
  
  CONCLUSIONS
  Single-port laparoscopic left lateral sectionectomy is feasible and can be safely performed in specialized centers.
authors.affiliation: Sirio Libanes Hospital , São Paulo, Brazil .
authors.forename: Marcel Autran C
authors.initials: MA
authors.lastname: Machado
authors.forename: Rodrigo C
authors.initials: RC
authors.lastname: Surjan
authors.forename: Fábio Ferrari
authors.initials: FF
authors.lastname: Makdissi
mesh_terms: D000236:Adenoma / Q000601:surgery*; D018281:Cholangiocarcinoma / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006503:Hepatic Veins; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008113:Liver Neoplasms / Q000601:surgery*; D008297:Male; D061646:Operative Time