Hepatic trisectionectomy for hepatocellular carcinoma using the Glisson pedicle method combined with anterior approach.

Abstract:

BACKGROUND:Hepatic trisectionectomy is a challenge for surgeons. We describe a technique by combination of the Glisson pedicle method and anterior approach to perform hepatic trisectionectomy. METHODS:In this technique, the Glisson pedicles are isolated above the hilar plate without hilar dissection. After dividing these pedicles, the hepatic hilum can be lowered more easily. With the hepatic hilum brought down, the following step of hepatic parenchyma transection using the anterior approach can be performed safely, avoiding accidental injury to the vessels and hepatic duct in the hilar plate. CONCLUSIONS:This technique provides a safe, easy way to perform hepatic trisectionectomy without warm ischemia injury to the remnant liver.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Xie KL,Zeng Y,Wu H

doi

10.1007/s00268-014-2579-y

subject

Has Abstract

pub_date

2014-09-01 00:00:00

pages

2358-62

issue

9

eissn

0364-2313

issn

1432-2323

journal_volume

38

pub_type

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