2008 Annual Meeting Abstracts
The Lateral Laparoscopic Approach to Lesions in the Posterior Segments
Andrew a. Gumbs*1,2, Brice Gayet2
1Upper GI and Endocrine Surgery, New York-Presbyterian Hospital, New York, NY; 2Medical and Surgical Department of Digestive Diseases, Institut Mutualiste Montsouris, Paris, France
Back to 2008 Program and Abstracts
The Lateral Laparoscopic Approach to Lesions in the Posterior Segments
Andrew a. Gumbs*1,2, Brice Gayet2
1Upper GI and Endocrine Surgery, New York-Presbyterian Hospital, New York, NY; 2Medical and Surgical Department of Digestive Diseases, Institut Mutualiste Montsouris, Paris, France
Although some authors believe that laparoscopy is contraindicated for the posterior hepatic segments, we use a lateral approach for resections in these segments. The hepatic inflow is approached with patients in a modified partial left lateral with the surgeon between the legs. The hepatic outflow is then controlled laterally if not done so retrohepatically. We have safely performed this procedure in > 25 patients with a 5% rate of major morbidity and 0% mortality. Average margin is > 10mm for malignant lesions. Long-term results are similar to our open patients. The Lateral Laparoscopic Approach to hepatic lesions in the posterior segements of the liver are feasible and safe.
