eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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vol. 12
Original paper

Single port access for laparoscopic lateral segmentectomy

Yoshihiro Inoue, Mitsuhiro Asakuma, Fumitoshi Hirokawa, Michihiro Hayashi, Tetsunosuke Shimizu, Kazuhisa Uchiyama

Videosurgery Miniinv 2017; 12 (4): 357–365
Online publish date: 2017/09/26
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Introduction: Single-port access laparoscopic lateral segmentectomy (LLS) has been developed as a novel minimally invasive surgery. We have experience with this LLS technique.

Aim: To report our technique and patients’ postoperative course in a series of single-port access LLS performed in our department. We also examine the cosmetic outcome, safety, and utility of the procedure.

Material and methods: Between February 2010 and October 2016, 54 patients who underwent single- or multiple-port laparoscopic or open lateral segmentectomy (LS) were retrospectively analyzed with respect to cosmetic outcome, safety, and utility.

Results: In the single LLS group, the laparoscopic procedure was successfully completed for all 14 patients. The median operative time was significantly shorter in the single LLS group (123 min; range: 50–270 min) than in the other groups. Estimated blood loss was also significantly lower in the single LLS group (10 ml; range: 0–330 ml). During the first 7 postoperative days, the visual analog scale pain score and the use of additional analgesia were not significantly different between groups. The single LLS group had a 7.1% complication rate (Clavien-Dindo classification > IIIA); this was not significantly different between groups.

Conclusions: Single-port access LLS is a procedure with excellent cosmetic results, although, with regard to invasiveness, there are no major differences from conventional LLS.

single port access, laparoscopic lateral segmentectomy, cosmetics, visual analog scale, crossing hands technique

Azagra JS, Goergen M, Gilbart E, et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects. Surg Endosc 1996; 10: 758-61.
Atallah S, Martin-Perez B, Keller D, et al. Natural-orifice transluminal endoscopic surgery. Br J Surg 2015; 102: e73-92.
Asakuma M, Hayashi M, Komeda K, et al. Impact of single-port cholecystectomy on postoperative pain. Br J Surg 2011; 25: 649-50.
Pugh RN, Murray-Lyon IM, Dawson JL, et al. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg 1973; 60: 646-9.
Inoue Y, Hayashi M, Tanaka R, et al. Short-term results of laparoscopic versus open liver resection for liver metastasis from colorectal cancer: a comparative study. Am Surg 2013; 79: 495-501.
Inoue Y, Hayashi M, Komeda K, et al. Resection margin with anatomic or nonanatomic hepatectomy for liver metastasis from colorectal cancer. J Gastrointest Surg 2012; 16: 1171-80.
Inoue Y, Tanaka R, Komeda K, et al. Fluorescence detection of malignant liver tumors using 5-aminolevulinic acid-mediated photodynamic diagnosis: principles, technique, and clinical experience. World J Surg 2014; 38: 1786-94.
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004; 240: 205-13.
Clavien PA, Barkun J, de Oliveira ML, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg 2009; 250: 187-96.
Mangram AJ, Horan TC, Pearson ML, et al. Guideline for prevention of surgical site infection, 1999 Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control 1999; 27: 97-132.
Rahbari NN, Garden OJ, Padbury R, et al. Posthepatectomy liver failure: a definition and grading by the International Study Group of Liver Surgery (ISGLS). Surgery 2011; 149: 713-24.
Poon CM, Chan KW, Lee DW, et al. Two-port vs four-port laparoscopic cholecystectomy. Surg Endosc 2003; 17: 1624-7.
Ramachandran CS, Arora V. Two-port laparoscopic cholecystectomy: an innovative new method for gallbladder removal. J Laparoendosc Adv Surg Tech A 1998; 8: 303-8.
Lomanto D, De Angelis L, Geci V, et al. Two-trocar laparoscopic cholecystectomy: a reproducible technique. Surg Laparosc Endosc Percutan Tech 2001; 11: 248-51.
Gaujoux S, Kingham TP, Jarnagin WR, et al. Single-incision laparoscopic liver resection. Surg Endosc 2011; 25: 1489-94.
Patel AG, Belqaumkar AP, James J, et al. Single-incision laparoscopic left lateral segmentectomy of colorectal liver metastasis. Surg Endosc 2011; 25: 649-50.
Ban D, Kudo A, Irie T, et al. Advances in reduced port laparoscopic liver resection. Asian J Endosc Surg 2015; 8: 11-5.
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