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Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)

Laparoscopic hepatectomy has rapidly evolved recently; 1–5 however, laparoscopic anatomical hepatectomy has yet to become widely used, although anatomical hepatectomy is ideal, especially for curative treatment of hepatocellular carcinoma, and is widely accepted via open approach. 6–10 This is becau...

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Autores principales: Honda, Goro, Kurata, Masanao, Okuda, Yukihiro, Kobayashi, Shin, Sakamoto, Katsunori, Takahashi, Keiichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057640/
https://www.ncbi.nlm.nih.gov/pubmed/24841440
http://dx.doi.org/10.1007/s11605-014-2538-9
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author Honda, Goro
Kurata, Masanao
Okuda, Yukihiro
Kobayashi, Shin
Sakamoto, Katsunori
Takahashi, Keiichi
author_facet Honda, Goro
Kurata, Masanao
Okuda, Yukihiro
Kobayashi, Shin
Sakamoto, Katsunori
Takahashi, Keiichi
author_sort Honda, Goro
collection PubMed
description Laparoscopic hepatectomy has rapidly evolved recently; 1–5 however, laparoscopic anatomical hepatectomy has yet to become widely used, although anatomical hepatectomy is ideal, especially for curative treatment of hepatocellular carcinoma, and is widely accepted via open approach. 6–10 This is because good-experienced skills, for example, exposing Glissonean pedicles and hepatic veins on the cutting plane, are required in order to perform anatomical hepatectomy via a pure laparoscopic approach. We obtained good results for various totally laparoscopic anatomical hepatectomies using the standardized techniques. We exposed the major hepatic veins from the root side by utilizing the unique view from the caudal side in the laparoscopic approach, and moved CUSA from the root side toward the peripheral side to avoid splitting the bifurcation of the hepatic vein. 11–13 We performed totally laparoscopic anatomical hepatectomy for 47 patients from August, 2008, to December, 2012 (Table 1). In most types of anatomical hepatectomy, the mean blood loss was <500 ml. Conversion to open surgery was required in two patients. Postoperative complications were prolonged ascites in two, peroneal palsy in two, and biloma in one. Mortality was zero. The embedded video demonstrates totally laparoscopic right anterior sectorectomy. In conclusion, our standardized techniques make laparoscopic anatomical hepatectomy more feasible. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11605-014-2538-9) contains supplementary material, which is available to authorized users.
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spelling pubmed-40576402014-06-18 Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video) Honda, Goro Kurata, Masanao Okuda, Yukihiro Kobayashi, Shin Sakamoto, Katsunori Takahashi, Keiichi J Gastrointest Surg Multimedia Article Laparoscopic hepatectomy has rapidly evolved recently; 1–5 however, laparoscopic anatomical hepatectomy has yet to become widely used, although anatomical hepatectomy is ideal, especially for curative treatment of hepatocellular carcinoma, and is widely accepted via open approach. 6–10 This is because good-experienced skills, for example, exposing Glissonean pedicles and hepatic veins on the cutting plane, are required in order to perform anatomical hepatectomy via a pure laparoscopic approach. We obtained good results for various totally laparoscopic anatomical hepatectomies using the standardized techniques. We exposed the major hepatic veins from the root side by utilizing the unique view from the caudal side in the laparoscopic approach, and moved CUSA from the root side toward the peripheral side to avoid splitting the bifurcation of the hepatic vein. 11–13 We performed totally laparoscopic anatomical hepatectomy for 47 patients from August, 2008, to December, 2012 (Table 1). In most types of anatomical hepatectomy, the mean blood loss was <500 ml. Conversion to open surgery was required in two patients. Postoperative complications were prolonged ascites in two, peroneal palsy in two, and biloma in one. Mortality was zero. The embedded video demonstrates totally laparoscopic right anterior sectorectomy. In conclusion, our standardized techniques make laparoscopic anatomical hepatectomy more feasible. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi:10.1007/s11605-014-2538-9) contains supplementary material, which is available to authorized users. Springer US 2014-05-20 2014 /pmc/articles/PMC4057640/ /pubmed/24841440 http://dx.doi.org/10.1007/s11605-014-2538-9 Text en © The Author(s) 2014 https://creativecommons.org/licenses/by/4.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.
spellingShingle Multimedia Article
Honda, Goro
Kurata, Masanao
Okuda, Yukihiro
Kobayashi, Shin
Sakamoto, Katsunori
Takahashi, Keiichi
Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)
title Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)
title_full Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)
title_fullStr Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)
title_full_unstemmed Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)
title_short Totally Laparoscopic Anatomical Hepatectomy Exposing the Major Hepatic Veins from the Root Side: a Case of the Right Anterior Sectorectomy (with Video)
title_sort totally laparoscopic anatomical hepatectomy exposing the major hepatic veins from the root side: a case of the right anterior sectorectomy (with video)
topic Multimedia Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057640/
https://www.ncbi.nlm.nih.gov/pubmed/24841440
http://dx.doi.org/10.1007/s11605-014-2538-9
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