Korean J Hepatobiliary Pancreat Surg.  2010 Sep;14(3):149-153.

Gaining Experience before Establishing a Totally Laparoscopic Left Lateral Sectionectomy as a Standard Procedure

• Lee DS
• Cui ML
• Kim HJ
• Yun SS

Abstract

PURPOSE
The aim of this study was to present our experience before establishing laparoscopic left lateral sectionectomy (LLLS) of the liver as a standard procedure, and to show efficacy of a totally LLLS compared to an open left lateral sectionectomy (OLLS).
METHODS
We retrospectively analyzed and compared clinical outcomes (operation time, blood loss, hospital stay, complication rate, etc) for 29 patients who underwent LLLS and 27 patients who underwent OLLS between January, 2002 and December, 2009. To see the learning curve for LLLS, we arbitrarily divided the LLLSs we did into an early group (ELLLS) and a late group (LLLLS) based on when they were operated on relative to case number 14.
RESULTS
Mean operative times for the ELLLS, LLLLS and OLLS groups were 269.7+/-102.6, 210.0+/-47.9 and 289.1+/-72.8 minutes, respectively. Mean operative time was significantly shorter (p<0.05) in the LLLLS than the OLLS group. Mean intra-operative blood loss was also less in the LLLLS group than the OLLS group (80.00+/-224.2 ml vs. 195.15+/-405.4 ml). Post-operative hospital stay was shorter in the LLLLS group than the OLLS group (9.9+/-4.0 versus 16.9+/-9.1, p=0.071).
CONCLUSION
The totally LLLS is a safe, feasible treatment option that can be a standard procedure with better outcomes in selected patients after an initial learning curve.

Keyword

Laparoscopy; Left lateral sectionectomy; Standard procedure

MeSH Terms

Humans
Laparoscopy
Learning Curve
Length of Stay
Liver
Operative Time
Retrospective Studies