Pure laparoscopic major hepatectomy facilitated with an application of GelportTM: a single-center case series

Laparoscopic liver resection (LLR) has been becoming widely accepted (1,2). In Japan, national health insurance has covered the medical fee for anatomical liver resection since 2016, in addition to left lateral sectionectomy and local liver resection, which have been covered since 2010 (3). LLR can be performed as a pure laparoscopic procedure, hand-assisted laparoscopic surgery (HALS) or hybrid procedure (4,5). Each procedure has its own merits and drawbacks (6-9). Pneumoperitoneum is accepted as a procedure associated with a reduced intraoperative blood loss. However, since parenchymal transection is performed under direct vision during the hybrid procedure, these Original Article