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A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection

Diaphragmatic resection may be required beneath the diaphragm in some patients with liver tumors. Laparoscopic diaphragmatic resection is technically difficult to secure in the surgical field and in suturing. We report a case of successful laparoscopic hepatectomy with diaphragmatic resection. A 48-...

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Autores principales: Oyama, Keisuke, Nakahira, Shin, Maeda, Sakae, Kitagawa, Akihiro, Ushimaru, Yuki, Ohara, Nobuyoshi, Miyake, Yuichiro, Makari, Yoichi, Nakata, Ken, Fujita, Junya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8421491/
https://www.ncbi.nlm.nih.gov/pubmed/34557377
http://dx.doi.org/10.1007/s13691-021-00506-x
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author Oyama, Keisuke
Nakahira, Shin
Maeda, Sakae
Kitagawa, Akihiro
Ushimaru, Yuki
Ohara, Nobuyoshi
Miyake, Yuichiro
Makari, Yoichi
Nakata, Ken
Fujita, Junya
author_facet Oyama, Keisuke
Nakahira, Shin
Maeda, Sakae
Kitagawa, Akihiro
Ushimaru, Yuki
Ohara, Nobuyoshi
Miyake, Yuichiro
Makari, Yoichi
Nakata, Ken
Fujita, Junya
author_sort Oyama, Keisuke
collection PubMed
description Diaphragmatic resection may be required beneath the diaphragm in some patients with liver tumors. Laparoscopic diaphragmatic resection is technically difficult to secure in the surgical field and in suturing. We report a case of successful laparoscopic hepatectomy with diaphragmatic resection. A 48-year-old man who underwent laparoscopic partial hepatectomy for liver metastasis of rectal cancer 20 months ago underwent surgery because of a new hepatic lesion that invaded the diaphragm. The patient was placed in the left hemilateral decubitus position. The liver and diaphragm attachment areas were encircled using hanging tape. Liver resection preceded diaphragmatic resection with the hanging tape in place. Two snake retractors were used to secure the surgical field for the inflow of CO(2) into the pleural space after diaphragmatic resection. The defective part of the diaphragm was repaired using continuous or interrupted sutures. Both ends of the suture were tied with an absorbable suture clip without ligation. In laparoscopic liver resection with diaphragmatic resection, the range of diaphragmatic resection can be minimized by performing liver resection using the hanging method before diaphragmatic resection. The surgical field can be secured using snake retractors. Suturing with an absorbable suture clip is conveniently feasible. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13691-021-00506-x.
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spelling pubmed-84214912021-09-22 A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection Oyama, Keisuke Nakahira, Shin Maeda, Sakae Kitagawa, Akihiro Ushimaru, Yuki Ohara, Nobuyoshi Miyake, Yuichiro Makari, Yoichi Nakata, Ken Fujita, Junya Int Cancer Conf J Case Report Diaphragmatic resection may be required beneath the diaphragm in some patients with liver tumors. Laparoscopic diaphragmatic resection is technically difficult to secure in the surgical field and in suturing. We report a case of successful laparoscopic hepatectomy with diaphragmatic resection. A 48-year-old man who underwent laparoscopic partial hepatectomy for liver metastasis of rectal cancer 20 months ago underwent surgery because of a new hepatic lesion that invaded the diaphragm. The patient was placed in the left hemilateral decubitus position. The liver and diaphragm attachment areas were encircled using hanging tape. Liver resection preceded diaphragmatic resection with the hanging tape in place. Two snake retractors were used to secure the surgical field for the inflow of CO(2) into the pleural space after diaphragmatic resection. The defective part of the diaphragm was repaired using continuous or interrupted sutures. Both ends of the suture were tied with an absorbable suture clip without ligation. In laparoscopic liver resection with diaphragmatic resection, the range of diaphragmatic resection can be minimized by performing liver resection using the hanging method before diaphragmatic resection. The surgical field can be secured using snake retractors. Suturing with an absorbable suture clip is conveniently feasible. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s13691-021-00506-x. Springer Singapore 2021-08-11 /pmc/articles/PMC8421491/ /pubmed/34557377 http://dx.doi.org/10.1007/s13691-021-00506-x Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Oyama, Keisuke
Nakahira, Shin
Maeda, Sakae
Kitagawa, Akihiro
Ushimaru, Yuki
Ohara, Nobuyoshi
Miyake, Yuichiro
Makari, Yoichi
Nakata, Ken
Fujita, Junya
A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
title A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
title_full A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
title_fullStr A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
title_full_unstemmed A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
title_short A safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
title_sort safe and simple procedure for laparoscopic hepatectomy with combined diaphragmatic resection
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8421491/
https://www.ncbi.nlm.nih.gov/pubmed/34557377
http://dx.doi.org/10.1007/s13691-021-00506-x
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