Single Incision Laparoscopic Liver Resection of Colorectal Liver Metastases
Ameet G. Patel1, Ajay P. Belgaumkar*1,2, Jojo James1, Beth Murgatroyd1,2, Kirstin Carswell1
1Department of Surgery, King's College Hospital NHS Foundation Trust, London, United Kingdom; 2Department of Surgery, Princess Grace Hospital, London, United Kingdom
We present a case of a 53 year old woman with a segment 2 colorectal liver metastasis. A left lateral sectionectomy was performed laparoscopically through a single umbilical incision. Hepatic parenchyma was divided using ultrasonic coagulation. Inflow and outflow pedicles were divided with laparoscopic staplers. The resected liver specimen was extracted by extending the umbilical incision to 5 cm length. The patient made an uncomplicated recovery. resuming oral diet and ambulation within 24 hours. The resection margin was clear. The aim of the video is to demonstrate the single incision approach is technically feasible and safe in selected patients requiring liver resection.
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