The laparoscopic liver resections—an initial experience and the literature review

The laparoscopic liver resection (LLR) represents a new pathway in hepatic surgery. Severalstudies have reported its application in both malignant and benign liver diseases. The most common liverresections performed laparoscopically are wedge, segmental resections and metastasectomy; although inlarge centers the laparoscopic right and left hepatectomies have begun to perform more frequently. Wereport the initial experience in LLRs at our department including a case of the first laparoscopic left lateralliver bisegmentectomy performed in patient with follicular nodular hyperplasia and the 15 cases of wedgelaparoscopic resections of echinococcic liver cysts. According to literature the mortality rate in LLRs is up to0.3% and morbidity rate up to 10.5%. The most common cause of the death is liver failure, while the mostfrequent complication is the bile leakage. Advantages for patients include smaller incisions, less blood loss,and shorter lengths of hospital stay. The LLRs in experienced hands were shown to be safe with acceptablemorbidity and mortality for both minor and major hepatic resections in benign and malignant diseases.