title: Single-port laparoscopic approach of the left liver: initial experience.
abstract: BACKGROUND
  New technological advances have enabled the development of single-port laparoscopic surgery. This approach began with cholecystectomy and subsequently with other abdominal surgeries. However, few publications on laparoscopic liver surgery have described the use of complete single-port access. We present our initial experience of a single-port laparoscopic hepatectomy.
  
  
  METHODS
  Between May 2012 and December 2013, 5 single-port laparoscopic hepatectomies were performed: one for benign disease and four for colorectal liver metastases. The lesions were approached through a 3-5 cm right supraumbilical incision using a single-port access device. All the lesions were located in hepatic segments II or III. Four left lateral sectorectomies and one left hepatectomy were performed.
  
  
  RESULTS
  Median operative time was 135 min. No cases were converted to conventional laparoscopic or open surgery. The oral intake began at 18 h. There were no postoperative complications and no patients required blood transfusion. The median hospital stay was 3 days. The degree of satisfaction was very good in 4 cases and good in one. Patients resumed their normal daily activities at 8 days.
  
  
  CONCLUSIONS
  Single-port laparoscopic hepatectomy is safe and feasible in selected cases and may reduce surgical aggression and offer better cosmetic results. Comparative studies are needed to determine the real advantages of this approach.
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España. Electronic address: judcamps@gmail.com.
authors.forename: Judith
authors.initials: J
authors.lastname: Camps Lasa
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España.
authors.forename: Esteban
authors.initials: E
authors.lastname: Cugat Andorrà
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España.
authors.forename: Eric
authors.initials: E
authors.lastname: Herrero Fonollosa
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España.
authors.forename: María Isabel
authors.initials: MI
authors.lastname: García Domingo
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España.
authors.forename: Raquel
authors.initials: R
authors.lastname: Sánchez Martínez
authors.affiliation: Unidad de Cirugía Hepatobiliopancreática, Servicio de Cirugía General, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España.
authors.forename: Harold
authors.initials: H
authors.lastname: Vargas Pierola
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitari Mútua Terrassa, Universitat de Barcelona, Terrassa, España.
authors.forename: Aurora
authors.initials: A
authors.lastname: Rodríguez Campos
mesh_terms: D000328:Adult; D000368:Aged; D004444:Echinococcosis, Hepatic / Q000601:surgery; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008113:Liver Neoplasms / Q000601:surgery; D008297:Male; D008875:Middle Aged
keywords: Cirugía hepática laparoscópica; Cirugía hepática por incisión única; Cirugía por puerto único; Laparoscopic liver resection; Single-port access surgery; Single-port laparoscopic hepatectomy