2008 Annual Meeting Abstracts

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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.

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