Abstract

Background: Laparoscopic posterior sectionectomy (segment VI–VII) is challenging for hepato-bilio-pancreatic surgeons. This study was designed to analyze the feasibility of this technique in patients with hepatocellular carcinoma.

Methods: Including 25 patients  treated with laparoscopic posterior sectionectomy from January 2020 to December 2024 at Hue Central Hospital.

Results: A total of 25 LSPS surgeries were performed. Mean age of the patients was 56,8±9,3 (38-76) years, with males accounting for 100%. The tumor size was 3,8±1,1(3,1-4,9) cm and the mean number of tumors was 1.1 ± 0.3 (1-2). Complete Takasaki control of the posterior pedicle was on 96,0% patients. The Pringle maneuvre was applied to all patients, and the average Pringle time was determined as 56,0±11,7 (60-90) minutes and mean operation time was 255,3±43,5 (259-308) minutes. Mean perioperative bleeding was measured as 270,2±191,3 (150-550) mL. Complications occurred in three patients (12,0%) and there was no postoperative mortality. The median length of hospital stay was 13,5±3,3 (11-16) days.

Conclusions: The study results indicate that when laparoscopic liver posterior sectionectomy is performed by an experienced surgeon, it is a safe, reasonable and feasible procedure for certain patients with a tumors size smaller than 5 cm and it is also associated with a reduced hospital stay.