Hepato-Biliary-Pancreatic Surgery and Liver Transplantation

초록

The left lateral section, involving the second and third segments of the left lobe of the liver, is a frequent location of benign diseases such as intrahepatic cholelithiasis and malignant diseases such as primary hepatocellular carcinoma or metastatic cancer. Although it is considered to be an area that is relatively easy to access, severe peripheral adhesion due to repeated inflammation leads to deformation of the anatomical structure via association with the surrounding organs or after abdominal surgery, and is often difficult to access or resect. The lateral sectionectomy method during liver resection depends on the surgical evaluation of the local lesion. Herein, anatomical resection of the second and third segments alone has been discussed, and excludes wedge resection and lesion-limited sub-segmental resection of segments 2 or 3, such as enucleation and atypical liver resection. In recent years, due to the popularity of laparoscopic hepatectomy, left lateral sectionectomy is mostly performed via laparoscopy or robotic minimally invasive surgeries. © Springer Nature Singapore Pte Ltd. 2023.