Laparoscopic surgery of postero-lateral segments: a comparison between transthoracic and abdominal approach

Updates Surg. 2015 Jun;67(2):141-5. doi: 10.1007/s13304-015-0320-5. Epub 2015 Jul 12.

Abstract

Lesions located in the postero-lateral part of the liver (segments 6 and 7) have been considered as poor candidates for a laparoscopic liver resection due to the limited visualization and difficulty in bleeding control. Although no comparison has been done between transthoracic and abdominal resection of tumors located in the postero-lateral segments, we propose a description of these different strategies, specifying the benefits as well as the disadvantages of the various approaches.

Publication types

  • Comparative Study
  • Review

MeSH terms

  • Blood Loss, Surgical / prevention & control
  • Female
  • Hepatectomy / adverse effects
  • Hepatectomy / methods*
  • Humans
  • Laparoscopy / adverse effects
  • Laparoscopy / methods*
  • Laparotomy / methods*
  • Length of Stay
  • Liver / anatomy & histology*
  • Liver / surgery
  • Liver Neoplasms / pathology
  • Liver Neoplasms / surgery
  • Male
  • Patient Positioning / methods*
  • Postoperative Complications / physiopathology
  • Postoperative Complications / therapy
  • Prognosis
  • Risk Assessment
  • Thoracoscopy / methods*
  • Treatment Outcome