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Song, Kim, Moon, Jeong, Ju, Jung, Lee, Hong, Choi, Ha, Park, and Jeong: The Feasibility of Laparoscopic Hepatectomy for the Patients with Left Intrahepatic Stones
Original Article
Journal of the Korean Surgical Society

Journal of the Korean Surgical Society 2010; 78(1): 35-40.

Published online: 8 January 2010

DOI: https://doi.org/10.4174/jkss.2010.78.1.35

The Feasibility of Laparoscopic Hepatectomy for the Patients with Left Intrahepatic Stones

Yu-jeong Song, M.D., Ka-Jeong Kim, M.D., Hyung-Gon Moon, M.D., Sang-Ho Jeong, M.D., Young-Tae Ju, M.D., Eun-Jung Jung, M.D., Young-Joon Lee, M.D., Soon-Chan Hong, M.D., Sang-Kyung Choi, M.D., Woo-Song Ha, M.D., Soon-Tae Park, M.D., Chi-Young Jeong, M.D.

Department of Surgery, Gyeongsang National University School of Medicine, Jinju, Korea.

Corresponding author(drjcy@daum.hanmail.net)

Received 10 August 2009       Accepted 5 October 2009

Copyright © 2010 The Korean Surgical Society

Abstract

Purpose

Recently, there have been several studies on the early results of hepatectomy for various intrahepatic lesions. We report the early experience of our hospital after total laparoscopic left hepatectomy in patients with intrahepatic stones in the left hemi-liver.

Methods

We retrospectively analyzed the medical records of patients who were diagnosed with left intrahepatic stones and underwent hepatectomy between January 2007 and June 2009. The patients were grouped according to operative procedure into open hepatectomy, laparoscopy-assisted hepatectomy, and total laparoscopic hepatectomy.

Results

There were 31 patients who underwent Lt hemihepatectomy and Lt lateral sectionectomy during this period. Hepatectomy with open method, laparoscopy-assisted method, and total laparoscopy method were performed in 10, 14, and 7 cases. There were no significant differences between the three methods for operating time and postoperative complications. But the number of fasting times and hospital days was shorter with total laparoscopic hepatectomy than with others.

Conclusion

Total laparoscopic liver resection is a safe and useful method for treating patients with intrahepatic stones and offers the advantage of quick patient recovery. Careful selection of appropriate patients and further development in the laparoscopic surgical technique resulting from accumulated experiences will help enable the laparoscopic hepatectomy to be performed more easily and safely in patients with intrahepatic stones.

Keywords: Intrahepatic stone, Laparoscopic hepatectomy, Laparoscopy-assisted hepatectomy

Figures and Tables

Fig. 1
Port site. (1) 10 mm camera; (2) 10 mm assist right hand; (3) 5 mm surgeon left hand; (4) 12 mm surgeon right hand; (5) 5 mm assist left hand.
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Fig. 2
Division of left portal vein.
jkss-78-35-g002
Fig. 3
After liver resection, using the suction device and catheter, remnant bile duct stone removed as many as possible, and then choledocoscopy was inserted to resected bile duct.
jkss-78-35-g003
Fig. 4
Postoperative abdominal wound. The extension of incision is showing below the umbilicus.
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Table 1
Clinical feature and operative procedure
jkss-78-35-i001

*OH = open hepatectomy; †LAH = laparoscopy-assisted hepatectomy; ‡TLH = totally laparoscopic hepatectomy.

Table 2
The outcome of surgery
jkss-78-35-i002

*OH = open hepatectomy; †LAH = laparoscopy-assisted hepatectomy; ‡TLH = totally laparoscopic hepatectomy; §NS = non specific.

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