Laparoscopic Anatomic Segment 6 Liver Resection Using the Glissonian Approach.
BACKGROUND
Laparoscopic liver resection has become important procedure for malignant liver disease. In this report, we describe the relevant technical maneuvers and perioperative outcomes in laparoscopic anatomic segment 6 liver resection using the Glissonian approach.


METHODS
From March 2003 and October 2015, 7 patients who diagnosed hepatocellular carcinoma had undergone laparoscopic anatomic segment 6 liver resection at the single institution. We performed retrospective analysis of the clinical and perioperative outcomes of these patients.


RESULTS
All patients were men with mean age of 62.3 years (range, 49 to 73 y). The mean operation time was 352.8 minutes (range, 180 to 435 min) and there was no case of open conversion. The mean estimated blood loss was 521.4 mL (range, 200 to 800 mL) and intraoperative transfusion needed in 1 patient. There was no postoperative morbidity and mortality. The mean postoperative hospital stay was 7.5 days (range, 5 to 12 d). All patients obtained negative resection margins. There was no patient had developed tumor recurrence during a median follow-up period of 43 months (range, 7 to 60.7 mo).


CONCLUSIONS
Laparoscopic anatomic segment 6 liver resection is a feasible operative procedure, being possible even in patients with limited liver function.
*Department of Surgery, Chungbuk National University Hospita, Cheongju-sil †Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine Seongnam-si ‡Department of Surgery, Gyeongsang National University Hospital, Jinju-si, Korea.
Hanlim
H
Choi
Ho-Seong
HS
Han
Yoo-Seok
YS
Yoon
Jai Young
JY
Cho
YoungRok
Y
Choi
Jae Yool
JY
Jang
D000368:Aged; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D006528:Carcinoma, Hepatocellular / Q000150:complications / Q000601:surgery*; D005240:Feasibility Studies; D006498:Hepatectomy / Q000379:methods*; D019694:Hepatitis B, Chronic / Q000150:complications; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008103:Liver Cirrhosis / Q000150:complications; D008113:Liver Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D061646:Operative Time