Laparoscopic liver resection: basic skills for peripheral lesions

An evaluation of the literature demonstrates atypical wedge or single segment resections to bethe most commonly performed laparoscopic liver procedures. Lesions that are both visible on the surfaceof segments 2-6 and ≤2-3 cm can be resected by most surgeons holding a fundamental understanding ofliver anatomy. These criteria are based on the anatomical circumstance that sectoral and segmental pediclesshould not course through depths necessary to obtain negative margins for these sized and positioned lesions.Videos of laparoscopic liver resections referenced in PubMed demonstrate complex procedures that arerarely performed and assume an advanced skill set for laparoscopic dissection and transection of parenchymaand management of vascular and biliary structures. Herein is demonstrated basic skill for peripheralresections via two cases in one video, so that these procedures can be safely performed by surgeons withcommonly available laparoscopic equipment.