Regional hepatic vascular inflow occlusion in laparoscopic hepatectomies

Objective To explore the feasibility and safety of regional hepatic vascular inflow occlusion in laparoscopic hepatectomies.Methods 35 patients with liver lesions received laparoscopic hepatectomy using regional hepatic vascular inflow occlusion.The mean age was 46.1 ± 3.5 years.The relevant branches of portal vein and hepatic artery were isolated with sharp and blunt dissections and were then occluded regionally.Results Laparoscopic regional hepatic vascular inflow occlusion and hepatectomies were successfully carried out in 35 patients.The mean operative time was 60.6±15.2 minutes.The mean blood loss was 230.8±56.5 ml.The mean postoperative hospital stay was 6.6±1.3 days.Conclusions Regional hepatic vascular inflow occlusion is a safe and feasible method in laparoscopic hepatectomies. Key words: Hepatectomy;  Laparoscopic;  Hepatic blood inflow;  Occlusion