Laparoscopic liver surgery for everyone: The hybrid method

Alan J. Koffron, Robert D. Kung, Gregory B. Auffenberg, Michael M. Abecassis*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

70 Scopus citations


Minimally invasive techniques have been described recently for liver resections. We have developed a surgical approach to liver resection that combines the benefits of minimally invasive surgery with the safety of open liver resection. We have applied this hybrid approach to selected cases, and we feel that it can be adopted by most hepatobiliary surgeons, even those with minimal or no laparoscopic experience. Briefly, this technique consists of laparoscopic mobilization of the target liver lobe, followed by standard open liver resection through the extraction site. The required incisions parallel those needed for hand-assisted laparoscopic liver resections. We have compared these hybrid procedures with contemporaneous laparoscopic, hand-assisted, and open liver resections at our institution and have found that they compare favorably with minimally invasive procedures. A wider utilization of this approach by both general and hepatobiliary surgeons will result in a more generalized acceptance of minimally invasive liver resection that ultimately will advance the field and benefit patients in need of liver surgery.

Original languageEnglish (US)
Pages (from-to)463-468.e2
Issue number4
StatePublished - Oct 2007

ASJC Scopus subject areas

  • Surgery


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