All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques

Liver surgery is highly demanding for anatomical, physiological and technical reasons, and minimally invasive approaches have been implemented at a slower rate. Today, laparoscopic liver resection is a standard of care in many occasions, yet specific operations remain particularly challenging and ge...

Full description

Bibliographic Details
Main Authors: Alessandro Anselmo, Bruno Sensi, Giulia Bacchiocchi, Leandro Siragusa, Giuseppe Tisone
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-04-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.864867/full
_version_ 1830201221275713536
author Alessandro Anselmo
Bruno Sensi
Giulia Bacchiocchi
Leandro Siragusa
Giuseppe Tisone
author_facet Alessandro Anselmo
Bruno Sensi
Giulia Bacchiocchi
Leandro Siragusa
Giuseppe Tisone
author_sort Alessandro Anselmo
collection DOAJ
description Liver surgery is highly demanding for anatomical, physiological and technical reasons, and minimally invasive approaches have been implemented at a slower rate. Today, laparoscopic liver resection is a standard of care in many occasions, yet specific operations remain particularly challenging and generally performed in open surgery. In particular, SVIII resection may be considered one of the most difficult due to anatomical characteristics including its sub-diaphragmatic position, the deep-lying Glissonean pedicle and the close contact with the inferior vena cava and right and middle hepatic veins. Many techniques have risen to overcome technical difficulties, and today laparoscopic SVIII resection has been demonstrated to be feasible. This review provides a complete picture of current approaches, focusing on all techniques reported so far with critical appraisal of each, discussing and explaining benefits and pitfalls.
first_indexed 2024-12-18T02:48:38Z
format Article
id doaj.art-6990f8f044584de9afccfdb823f7f1d5
institution Directory Open Access Journal
issn 2234-943X
language English
last_indexed 2024-12-18T02:48:38Z
publishDate 2022-04-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Oncology
spelling doaj.art-6990f8f044584de9afccfdb823f7f1d52022-12-21T21:23:31ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-04-011210.3389/fonc.2022.864867864867All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical TechniquesAlessandro AnselmoBruno SensiGiulia BacchiocchiLeandro SiragusaGiuseppe TisoneLiver surgery is highly demanding for anatomical, physiological and technical reasons, and minimally invasive approaches have been implemented at a slower rate. Today, laparoscopic liver resection is a standard of care in many occasions, yet specific operations remain particularly challenging and generally performed in open surgery. In particular, SVIII resection may be considered one of the most difficult due to anatomical characteristics including its sub-diaphragmatic position, the deep-lying Glissonean pedicle and the close contact with the inferior vena cava and right and middle hepatic veins. Many techniques have risen to overcome technical difficulties, and today laparoscopic SVIII resection has been demonstrated to be feasible. This review provides a complete picture of current approaches, focusing on all techniques reported so far with critical appraisal of each, discussing and explaining benefits and pitfalls.https://www.frontiersin.org/articles/10.3389/fonc.2022.864867/fullsegment VIIIhepatobiliary surgerylaparoscopic liver resection (LLR)liver anatomyhepatocarcinoma (HCC)liver cancer (LC)
spellingShingle Alessandro Anselmo
Bruno Sensi
Giulia Bacchiocchi
Leandro Siragusa
Giuseppe Tisone
All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
Frontiers in Oncology
segment VIII
hepatobiliary surgery
laparoscopic liver resection (LLR)
liver anatomy
hepatocarcinoma (HCC)
liver cancer (LC)
title All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
title_full All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
title_fullStr All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
title_full_unstemmed All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
title_short All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
title_sort all the routes for laparoscopic liver segment viii resection a comprehensive review of surgical techniques
topic segment VIII
hepatobiliary surgery
laparoscopic liver resection (LLR)
liver anatomy
hepatocarcinoma (HCC)
liver cancer (LC)
url https://www.frontiersin.org/articles/10.3389/fonc.2022.864867/full
work_keys_str_mv AT alessandroanselmo alltheroutesforlaparoscopicliversegmentviiiresectionacomprehensivereviewofsurgicaltechniques
AT brunosensi alltheroutesforlaparoscopicliversegmentviiiresectionacomprehensivereviewofsurgicaltechniques
AT giuliabacchiocchi alltheroutesforlaparoscopicliversegmentviiiresectionacomprehensivereviewofsurgicaltechniques
AT leandrosiragusa alltheroutesforlaparoscopicliversegmentviiiresectionacomprehensivereviewofsurgicaltechniques
AT giuseppetisone alltheroutesforlaparoscopicliversegmentviiiresectionacomprehensivereviewofsurgicaltechniques