scholarly journals Systematic extrahepatic Glissonean pedicle isolation for anatomical liver resection based on Laennec's capsule: proposal of a novel comprehensive surgical anatomy of the liver

2017 ◽  
Vol 24 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Atsushi Sugioka ◽  
Yutaro Kato ◽  
Yoshinao Tanahashi
Keyword(s):  
Liver Resection ◽  
Surgical Anatomy ◽  
Glissonean Pedicle ◽  
Anatomical Liver Resection

scholarly journals Hepatectomy using a combination of extrafascial extrahepatic (Takasaki approach) and extrafascial intrahepatic pedicle approaches (Ton That Tung approach)

2021 ◽  
Vol 2021 (10) ◽  
Author(s):  
Quyet Van Ha ◽  
Toan Huy Nguyen ◽  
Huong Van Nguyen ◽  
Xuan Anh Le ◽  
Kinh Huy Tran
Keyword(s):  
Liver Resection ◽  
Future Liver Remnant ◽  
Liver Parenchyma ◽  
Liver Remnant ◽  
Ischemic Time ◽  
Precise Knowledge ◽  
Safe Technique ◽  
Glissonean Pedicle ◽  
A New Technique ◽  
Anatomical Liver Resection

Abstract Selective pedicle control and anatomical liver resection are considered standard techniques in hepatectomy for hepatocellular carcinoma. In 1963, Ton That Tung made significant improvements in hepatectomy techniques with the principle of locating and ligation of Glissonean pedicle in the liver parenchyma based on precise knowledge of vascular and biliary anatomy (Tung TT, Quang ND. A new technique for operating on the liver. Lancet 1963;281:192–3). In 1986, the extrafascial Glissonean dissection was first introduced by Takasaki in 1986. This is a simple and safe technique that helps to identify the exact borders between liver sections for anatomic liver resection (Takasaki K. Glissonean pedicle transection method for hepatic resection: a new concept of liver segmentation. J Hepatobiliary Pancreat Surg 1998;5:286–91). The combination of two techniques helps minimize complications, reduce ischemic time of future liver remnant, intraoperative blood loss and avoid migration of cancer cells into other segments.

scholarly journals Short-term outcomes of anatomical liver resection with selective control of glissonean pedicle for treatment of hepatocellular carcinoma

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S362-S363
Author(s):  
Pham The Anh ◽  
Nguyen Kieu Hung ◽  
Nguyen Truong Giang ◽  
Nghiem Thanh Ha ◽  
Pham Ba Duc
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Short Term ◽  
Selective Control ◽  
Glissonean Pedicle ◽  
Anatomical Liver Resection

Restrictive Pulmonary Dysfunction May Increase Blood Loss During Liver Resection

2021 ◽  
pp. 000313482110604
Author(s):  
Takahiro Yoshikawa ◽  
Daisuke Hokuto ◽  
Satoshi Yasuda ◽  
Naoki Kamitani ◽  
Yasuko Matsuo ◽  
...  
Keyword(s):  
Risk Factor ◽  
Liver Resection ◽  
Blood Loss ◽  
Perioperative Outcomes ◽  
Complication Rates ◽  
Pulmonary Dysfunction ◽  
Intraoperative Blood Loss ◽  
Control Groups ◽  
Anatomical Liver Resection ◽  
And Control

Background Restrictive pulmonary dysfunction (RPD) is a risk factor for perioperative complications during gastrointestinal surgery. We hypothesized that high airway pressure due to RPD results in increased intraoperative blood loss during liver surgery. Thus, we investigated the effects of RPD on perioperative outcomes for liver resection. Methods This study included 496 patients who underwent curative liver resection at our hospital between April 2009 and April 2020. Perioperative outcomes for the RPD and control groups were compared. Restrictive pulmonary dysfunction was defined as % vital capacity <80%. Results Forty-one patients (8.3%) had RPD. No significant differences were observed in intraoperative blood losses (440 mL vs 320 mL, P = .340), overall complication rates (29.3% vs 31.2%, P = .797), or pulmonary complication rates (4.9% vs 9.0%, P = .286) between the RPD and control groups. In the 256 patients who underwent anatomical liver resection, 18 patients (7.0%) had RPD. The intraoperative blood loss was significantly higher in the RPD group (925 mL vs 456 mL, P = .013), but no differences in the overall complication rates (44.4% vs 37.3%, P = .528) or pulmonary complication rates (11.1% vs 10.5%, P = .589) between the two groups were detected. A multivariate analysis showed that RPD was an independent risk factor for intraoperative blood loss ≥500 mL during anatomical liver resection (odds ratio 4.132; 95% confidence interval 1.135-15.045; P = .031). Discussion Restrictive pulmonary dysfunction may be a risk factor for intraoperative blood loss during anatomical liver resection, which requires exposure of the main hepatic vein.

Clinical Impact of Anatomical Liver Resection for Hepatocellular Carcinoma with Pathologically Proven Portal Vein Invasion

2015 ◽  
Vol 40 (2) ◽  
pp. 402-411 ◽  
Author(s):  
Takatsugu Matsumoto ◽  
Keiichi Kubota ◽  
Taku Aoki ◽  
Yukihiro Iso ◽  
Masato Kato ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Liver Resection ◽  
Portal Vein ◽  
Clinical Impact ◽  
Portal Vein Invasion ◽  
Anatomical Liver Resection

Anatomical liver resection of segment 4a en bloc with the caudate lobe

2016 ◽  
Vol 113 (6) ◽  
pp. 665-667
Author(s):  
Nicola Silvestrini ◽  
Alessandro Coppola ◽  
Francesco Ardito ◽  
Gennaro Nuzzo ◽  
Felice Giuliante
Keyword(s):  
Liver Resection ◽  
Caudate Lobe ◽  
En Bloc ◽  
Anatomical Liver Resection
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