Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding.

Abstract:

PURPOSE:Although laparoscopic liver resection has been widely adopted, performing a pure laparoscopic right hepatectomy remains a challenging procedure. The aim of this report is to evaluate the efficiency of a pure laparoscopic right hepatectomy (PLRH) in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver. METHODS:Pure laparoscopic right hepatectomy was performed in the semi-prone position with the use of an intrahepatic Glissonian approach and modified hanging maneuver for patients with primary liver cancer (n = 3) and metastatic liver cancer (n = 1). RESULTS:The intraoperative total blood loss was only 95-140 g (mean: 126.2 g). None of the patients required a blood transfusion, and no serious complications were encountered. The durations of the surgeries ranged from were 308 to 445 min (mean: 394.8 min). The postoperative hospital stay was 8-11 days (mean 9.5 days). CONCLUSION:Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver is thus considered to be a safe modality, which minimizes intraoperative bleeding.

journal_name

Surg Today

journal_title

Surgery today

authors

Ikeda T,Yonemura Y,Ueda N,Kabashima A,Shirabe K,Taketomi A,Yoshizumi T,Uchiyama H,Harada N,Ijichi H,Kakeji Y,Morita M,Tsujitani S,Maehara Y

doi

10.1007/s00595-010-4479-6

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

1592-8

issue

12

eissn

0941-1291

issn

1436-2813

journal_volume

41

pub_type

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