Single-port laparoscopic hepatectomy: Slovenian single center experience

Abstract

Abstract Background: Single-port laparoscopic hepatectomy is a minimally invasive modality for the treatment of the benign and malignant liver lesions. Due to the methods technical challenges it is suitable for experienced hepatobilliary surgeons in selected group of patients. The aim of this study was to evaluate the results of a single Slovenian centre performing single-port laparoscopic hepatectomy with literature overview.Methods: A single centre retrospective consecutive case series of the thirteen patients with liver disease operated with the single-port technique form January 2018 to April 2022 at the Department of the Abdominal Surgery in the University Medical Centre Ljubljana was performed. Lesions were located in the easy to treat segments. The operative time, conversion rate, length of the hospital stay and surgical complications were recorded and evaluated.Results: We performed thirteen single-port liver hepatectomies (median age 60, range 31 to 79 years). Mean operative time was 98 ± 37 min. None of the cases was converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in case of malignant disease. The mean hospital stay was 4 days. Post-operative complication involving intervention was 7% (1/13). No life-threatening surgical complication or morbidity were noted.Conclusions: The single-port laparoscopic hepatectomy is a safe and feasible technique for the operation of benign and malignant liver lesions in hands of skilled and well trained surgeons.