Laparoscopic anatomical left hepatectomy guided by milddle hepatic vein approach: a clinical analysis of 21 cases

Abstract

Objective To investigate the clinical efficacy of laparoscopic anatomical left hepatectomy by guided middle hepatic vein approach. Methods The clinical data of 21 patients undergone anatomical left hepatectomy from Oct. 2015 to Jul. 2018 were retrospectively analyzed. Results Among the 21 cases , the primary hepatocellular carcinoma were found in 4 patients (19.1%), the cholangiocarcinoma in 1 patients (4.8%), the giant hepatic hemangioma in 1 patients (4.8%), the hepatolithiasis in 15 patients (71.3%). All 21 patients were operated under laparoscopy and recovered. The operative time was 160-380 min, the average operative time was(248±56)min, the intraoperative blood loss was 100-700 ml. The average blood loss was(250±40)ml, the average length of hospital stay of the patients was 8-14(10±2)d. Conclusions Laparoscopic anatomical left hepatectomy guided by middle hepatic vein approach is a safe and effective operation. Key words: Laparoscopy; Hepatectomy; Hepatic veins