To explore the clinical efficacy and safety of the ambulatory surgery applied to hepatectomy.

We obtained the data of two patients who underwent ambulatory surgery hepatectomy at the Faculty of Hepato-Biliary-Pancreatic Surgery, The First Medical Center of Chinese PLA General Hospital on July 27, 2024 and August 2, 2024. We reported the detailed perioperative management process, and summarized operation time, intraoperative blood loss, surgical approach, postoperative hospital stays, and occurrence of postoperative complications.

Among the two patients, one was male and the other was female, their ages were 69 and 54 years old respectively, their body mass indexes (BMI) were 23.7 kg/m² and 23.9 kg/m² respectively, both patients underwent minimally invasive hepatectomy, the male with diagnosis of hepatic metastasis underwent robotic partial liver resection, and the female underwent laparoscopic standardized left lateral segment liver resection (LLLR). During the perioperative period, both patients were managed according to the ambulatory surgery operation standards established by the Faculty of Hepato-Biliary-Pancreatic Surgery, the First Medical Center of Chinese PLA General Hospital. The operation times were 32 minutes and 25 minutes, respectively, intraoperative blood loss was less than 10 ml in both patients, there was no blood transfusion, and both were discharged within 24 hours postoperatively. Follow-up at 14 days showed no complications of grade Ⅱ or above, and there was no readmission within 14 days.

Performing hepatectomy according to the ambulatory surgery is safe and feasible.