Intrahepatic Glissonean Pedicle Approach to Segment 7 from the Dorsal Side During Laparoscopic Anatomic Hepatectomy of the Cranial Part of the Right Liver.

Published on Nov 9, 2017in Journal of The American College of Surgeons6.113
路 DOI :10.1016/J.JAMCOLLSURG.2017.10.018
Yukihiro Okuda11
Estimated H-index: 11
,
Goro Honda30
Estimated H-index: 30
+ 4 AuthorsManami Doi6
Estimated H-index: 6
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#1Luca PortigliottiH-Index: 6
#2David Fuks (Paris V: Paris Descartes University)H-Index: 37
Last. Brice Gayet (Paris V: Paris Descartes University)H-Index: 59
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Introduction The benefit of by laparoscopic resection for lesions located in postero-superior segments is unclear. The present series aimed at comparing intraoperative and post-operative results in patients undergoing either laparoscopic RPS or laparoscopic RH for colorectal liver metastases located in the right postero-superior segments.
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#1Vincenzo Scuderi (Ghent University Hospital)H-Index: 14
#2Leonid Barkhatov (Oslo University Hospital)H-Index: 12
Last. Roberto Troisi (Ghent University Hospital)H-Index: 58
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Background: Laparoscopic resection of posterosuperior (PS) segments of the liver is hindered by limited visualization and curvilinear resection planes. The aim of this study was to compare outcomes after open and laparoscopic liver resections of PS segments. Methods: Patients who underwent minor open liver resection (OLR) and laparoscopic liver resection (LLR) between 2006 and 2014 were identified from the institutional databases of seven tertiary referral European hepatobiliary surgical units. ...
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#1Shin KobayashiH-Index: 13
#2Goro HondaH-Index: 30
Last. Keisuke AbeH-Index: 1
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Objectives:To determine optimal settings for airway pressure (AWP), pneumoperitoneum pressure (PPP), and central venous pressure (CVP) in pure laparoscopic hepatectomy.Background:High PPP is often employed to control bleeding from the hepatic vein during pure laparoscopic hepatectomy; however, there
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#1Masahiko SakodaH-Index: 20
#2Shinichi UenoH-Index: 33
Last. Shoji NatsugoeH-Index: 73
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Background: It has been reported that anatomical resection of the liver may be preferred for primary hepatocellular carcinoma (HCC), and is at least recommended for systematic removal of a segment confined by tumor-bearing portal tributaries. However, nonanatomical resection (NAR) is often selected because of the patient's background, impairment of liver function, and tumor factors. The aims of the present study were to retrospectively compare the recurrence-free survival (RFS) rates for cases o...
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#1Satoshi Ogiso (Kyoto University)H-Index: 7
#2Claudius ConradH-Index: 50
Last. Brice Gayet (University of Paris)H-Index: 59
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OBJECTIVE: We describe the technical details and evaluate the safety, feasibility, and usefulness of a combined lateral and abdominal (CLA) approach for laparoscopic resection of liver segments 7 and 8. BACKGROUND: Laparoscopic resection of lesions in the posterosuperior area of segments 7 and 8 is technically challenging, and currently there is no standardized laparoscopic approach. METHODS: Through review of a prospectively maintained database, we identified 44 patients who underwent laparosco...
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#1Le Xiao (Third Military Medical University)H-Index: 5
#2Lunjian Xiang (Third Military Medical University)H-Index: 3
Last. Shu-guo Zheng (Third Military Medical University)H-Index: 16
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Background Traditional open liver resection remains the classic procedure for hepatocellular carcinoma (HCC) located in the posterosuperior segments of the liver (segments I, IVa, VII, and VIII). This study compared the perioperative and oncologic results for laparoscopic versus open liver resection of HCC located in the posterosuperior segments, especially in patients with cirrhosis.
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#1Go Wakabayashi (Iwate Medical University)H-Index: 56
#2Daniel Cherqui (Iwate Medical University)H-Index: 85
Last. Steven M. Strasberg (WashU: Washington University in St. Louis)H-Index: 93
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The use of laparoscopy for liver surgery is increasing rapidly. The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development. Seventeen questions were addressed. The first 7 questions focused on outcomes that reflect the benefits and risks of LLR. These questions were addressed using the Zurich-Dani...
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Although laparoscopic hepatectomy, which was first reported in the 1990s, has become widely used worldwide due to its minimal invasiveness, segments 1, 7, and 8 and the superior part of segment 4, according to the classification of Couinaud, are considered unfavorable portions for laparoscopic hepatectomy even now, due to the limited visualization and the difficulty of handling the laparoscopic devices. Especially in the most posterosuperior area (the top of segment 7), it is not easy to secure ...
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#1S. R. Coles (University Hospital Southampton NHS Foundation Trust)H-Index: 1
#2Marc G. Besselink (University Hospital Southampton NHS Foundation Trust)H-Index: 88
Last. M. Abu Hilal (University Hospital Southampton NHS Foundation Trust)H-Index: 19
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Background Until recently, laparoscopic resection of tumors involving segment 7 (s7) of the liver was seen as a relative contraindication. We analyzed our experiences with laparoscopic resection of tumors in s7.
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#1Woohyung Lee (Seoul National University Bundang Hospital)H-Index: 16
#2Ho-Seong Han (Seoul National University Bundang Hospital)H-Index: 56
Last. Hong Kyung Shin (Seoul National University Bundang Hospital)H-Index: 6
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Performing laparoscopic liver resection for lesions located in segment 7 and 8 is technically difficult, as the operative field is far from the conventional trocar site, and the liver impedes free motion of the laparoscopic instru- ment. Inserting the port through the intercostal space (ICS) may facilitate liver resection for these lesions. From January 2012 to July 2013, five patients (four men and one woman) underwent laparoscopic S7 or 8 segmentectomy for liver metastasis and hepatocellular c...
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Laparoscopic anatomic liver resection is technically demanding, given the need to safely isolate the Glissonean pedicles and expose the hepatic veins (HVs) on the liver parenchyma cut surface. Laennec鈥檚 capsule is observed around the Glissonean pedicles and root of the HVs. However, its existence, particularly on the peripheral side of the HVs, remains controversial. Herein, we describe Laennec鈥檚 capsule-related histopathological findings around the HVs and a safe laparoscopic left medial sectio...
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#1Satoshi Ogiso (Kyoto University)H-Index: 12
#2Satoru Seo (Kyoto University)H-Index: 22
Last. Etsuro Hatano (Kyoto University)H-Index: 55
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Background null In laparoscopic anatomic liver resection, an increasingly common procedure, the hepatic vein-guided approach is widely used although the hepatic vein tributaries can be a major source of bleeding in the event of inadvertent injury. This report describes the anatomy of the middle hepatic vein (MHV) including its tributaries based on reconstructed three-dimensional computed tomography images and provides anatomic data to enable safe middle hepatic vein-guided liver resection. null ...
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#1Yusuke OmeH-Index: 8
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#1Shaohe Wang (NU: Nanjing University)H-Index: 2
#2Yang Yue (NU: Nanjing University)
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BACKGROUND Laparoscopic anatomic hepatectomy (LAH) has gradually become a routine surgical procedure. However, how to expose the whole hepatic vein and avoid the hepatic vein laceration is still a challenge because of the caudate lobe, particularly in right hepatectomy. We adopted a dorsal approach combined with Glissionian appraoch to perform laparoscopic right anatomic hepatectomy (LRAH). METHODS Twenty patients who underwent LRAH from January 2017 to November 2018 were retrospectively analyse...
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#1Mamoru Morimoto (Nagoya City University)H-Index: 10
#2Federico TomassiniH-Index: 11
Last. Go WakabayashiH-Index: 36
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BACKGROUND/PURPOSE The Glissonean approach has been widely validated for both open and minimally invasive anatomic liver resection (MIALR). However, the possible advantages compared to the conventional hilar approach are still under debate. The aim of this systematic review is to evaluate the application of the Glissonean approach in MIALR. METHODS A systematic review of the literature was conducted on Pubmed and Ichushi databases. Articles written in English or Japanese were included. From 2390...
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Purpose In this systematic review, we aimed to clarify the useful anatomic structures and assess available surgical techniques and strategies required to safely perform minimally invasive anatomic liver resection (MIALR), with a particular focus on the hepatic veins (HVs). Methods A systematic review was conducted using MEDLINE/PubMed for English articles and Ichushi databases for Japanese articles through September 2020. The quality assessment of the articles was performed in accordance with th...
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BACKGROUND Laparoscopic segment 7 segmentectomy and segment 6-7 bisegmentectomy are challenging resections because of the posterior position and the lack of landmarks. The anatomy of the right posterior Glissonean pedicle and the caudal view of laparoscopy make such resections suitable for the Glissonean pedicle-first approach. METHODS The study population included all consecutive patients treated with laparoscopic liver resection from August 2019 to February 2020. The approach is based on the u...
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#1Takao Ide (Saga University)H-Index: 17
#2Taketo Matsunaga (Saga University)H-Index: 10
Last. Hirokazu Noshiro (Saga University)H-Index: 29
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Background Right anterior sectionectomy is complex in comparison to other liver resections. Thus, the operation has not been widely performed via a laparoscopic approach. We herein present a purely laparoscopic method for right anterior sectionectomy using the standardized techniques.
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BACKGROUND Laparoscopic posterosuperior liver resection is a technically difficult and complex surgery. These patients are seen as poor candidates for laparoscopic surgery. This study aimed to show the safe and effective applicability of the posterosuperior segment resections by experienced surgeons in advanced centers. MATERIALS AND METHODS Patients who underwent laparoscopic posterosuperior liver resection between October 2011 and October 2019 at the Groeninge Hospital were evaluated retrospec...
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Background A large amount of blood flows in and out of the liver through the inflow system consisting of the portal vein and hepatic artery within the Glissonean cord and the outflow system constituted by the hepatic veins. Methods During liver parenchymal dissection, useful methods to maintain a dry operative field are to control the inflow system with the Pringle maneuver and the outflow system by managing the central venous pressure. Additionally, mature techniques of dissecting the liver par...
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