2018 Volume 43 Issue 4 Pages 566-571
Introduction: Since April 2016, laparoscopic anatomical liver resection has been designated as treatment in the Japanese insurance system. Laparoscopic right anterior sectionectomy (Lap-RAS) is one of the most technically difficult procedures among the laparoscopic anatomical liver resections. In our hospital, we standardized the Lap-RAS procedure making use of the benefit of the laparoscopic view. In this study, we evaluated our techniques for Lap-RAS and compared the perioperative outcomes between Lap-RAS and the open right anterior sectionectomy (Open-RAS).
Patients and methods: From April 2016 to May 2017, Lap-RAS was performed in 6 patients (Lap-group). Open-RAS was performed in 10 patients from April 2014 to May 2017 (Open-group). This study retrospectively compared the short-term outcomes of the Lap-group with those of the Open-group.
Results: There were no conversions from Lap-RAS to open surgery. No significant differences were found in the patient characteristics. The Lap-group had significantly less blood loss (70.5ml vs 753ml; p=0.011). There were no significant differences in the other perioperative outcomes including operation time, morbidity, and mortality between the Lap-group and the Open-group. We experienced no severe complications and mortality after Lap-RAS.
Conclusions: Our procedure for Lap-RAS is safe and useful in well-selected patients.
