To investigate the safety and application value of Glissonian intra-sheath and extra-sheath blood flow occlusion in laparoscopic right posterior hepatectomy.

Clinical data of 10 patients undergoing laparoscopic right posterior hepatectomy in the Second Affiliated Hospital of Nanchang University from July 2015 to July 2017 were retrospectively analyzed. The informed consents of all patients were obtained and the local ethical committee approval was received. Among them, 3 cases were males and 7 females, aged 37-62 years, with a median age of 54 years. 10 cases underwent complete laparoscopic right posterior hepatectomy. Glissonian intra-sheath occlusion of the right posterior lobe and extra-sheath occlusion of the right anterior lobe were performed. The perioperative conditions were observed.

All the 10 patients underwent laparoscopic right posterior hepatectomy successfully. The median frequency of Glisson occlusion of the right anterior lobe was 2(1-4) times, and the duration was (15±6) min. The average operative time was (246±96) min, and the intraoperative blood loss was (384±95) ml. No blood transfusion was performed during and after surgery. The liver function was almost restored at postoperative 1 week. The postoperative length of hospital stay was (9±4) d, the catheter indwelling time was (5±2) d. No bleeding, bile leakage, liver failure, abdominal infection and other complications occurred after surgery.

It is safe and feasible to perform Glissonian intra-sheath and extra-sheath blood flow occlusion in laparoscopic right posterior hepatectomy. It has the characteristics of smaller trauma, less blood loss, less liver damage and rapider recovery.