# Single-Port Laparoscopic Hepatectomy: Slovenian Single-Center Experience

## TL;DR

This study shows that single-port laparoscopic hepatectomy is a safe and effective method for liver surgery when performed by experienced surgeons.

## Contribution

The paper presents a single-center experience in Slovenia with single-port laparoscopic hepatectomy, contributing to its feasibility and safety evidence.

## Key findings

- Twenty-six single-port laparoscopic liver resections were performed without conversion to open or multi-port surgery.
- The mean hospital stay was 4 days, with a low post-operative complication rate of 7%.
- No life-threatening complications occurred, and safe resection margins were achieved for malignant cases.

## Abstract

Background: Single-port laparoscopic hepatectomy is a minimally invasive modality for the treatment of benign and malignant liver lesions. Due to the method’s technical challenges, it is suitable for experienced hepatobiliary surgeons and selected groups of patients. The aim of this study was to evaluate the results of a single Slovenian center performing single-port laparoscopic hepatectomy with a literature overview. Methods: A single-center retrospective consecutive case series of the twenty-six patients with liver disease operated with the single-port technique from January 2018 to July 2024 at the Department of Abdominal Surgery at the University Medical Centre, Ljubljana, was performed. Lesions were located in easy-to-treat segments. Operative time, conversion rate, length of hospital stay, and surgical complications were recorded and evaluated. Results: We performed twenty-six single-port laparoscopic liver resections (median age 63.5, range 31 to 79 years). The mean operative time was 92 ± 31 min. None of the cases were converted to multi-port laparoscopic or open surgery. Safe resection margins were obtained in cases of malignant disease. The mean hospital stay was 4 days. The post-operative complication rate involving intervention was 7% (2/26). The incisional hernia rate was 11.5% (3/26). No life-threatening surgical complications or morbidity were noted. Conclusions: Single-port laparoscopic hepatectomy is a safe and feasible technique for the resection of benign and malignant liver lesions in the hands of skilled and well-trained hepatobiliary surgeons.