Laparoscopic resection of right posterior lobe: experience of 20 cases

Abstract

Background: Laparoscopic resection of right posterior lobe is rarely performed because of the difficulty of exposing the lesion in laparoscope, risk of massive bleeding and the difficulty of managing intra-operative emergencies. This procedure was performed routinely in our institute. The aim of this study was to report outcomes of laparoscopic resection of right posterior lobe. Methods: 20 Consecutive patients who underwent laparoscopic resection of right posterior lobe in Sir Run Run Shaw Hospital. The patients' characteristics, surgical features, postoperative course, and so on were reviewed. All procedures were performed under general anesthesia with the patients in the left side position. Liver parenchyma was transected with the special instrument of laparoscopic peng's multifunctional operative dissector. Results: No peri-operative death. 5 patients were converted to open hepatectomy. 3 Complications occurred. The mean operating time was 217.3 ml. The mean volume of intraoperative blood loss was 698.3 ml and 6 patients had intra-operative blood transfusion. The length of post-operative hospital stay was 8.4 days. Conclusion: laparoscopic resection of right posterior lobe was supposed to be a safe and effective procedure according to current results in our institute.