Open Versus Laparoscopic Left Hepatic Sectionectomy

Randomized Clinical Trial of Open Versus Laparoscopic Left Hepatic Sectionectomy in Treatment of Hepatolithiasis Within an Enhanced Recovery After Surgery Programme

Laparoscopic left sectionectomy has been associated with shorter hospital stay and reduced overall morbidity compared with open left sectionectomy. Strong evidence has not, however, been provided.

The application of laparoscopic technology to liver surgery has been developing rapidly, yet very few studies have been conducted to compare the outcomes between open and laparoscopic liver resections. So little is known about their advantages and disadvantages. The aim of this prospective randomized study is to compare the outcomes between laparoscopic and open liver resection in treatment of hepatolithiasis within the left lobes within an enhanced recovery after surgery programme.

Inclusion Criteria:

• Patients suitable for undergoing both laparoscopic left sectionectomy as well as open left sectionectomy of the liver
• Able to understand the nature of the study and what will be required of them
• Men and non-pregnant,non-lactating women between age 18-80
• BMI between 18-35
• Patients with ASA I-II-III

Exclusion Criteria:

• Inability to give written informed consent
• Patients undergoing liver resection other than left lateral hepatic sectionectomy
• Patients with ASA IV-V Underlying liver disease