Caudal approach to the middle hepatic vein as a resection pathway in difficult major hepatectomies under laparoscopic approach

2020 ◽  
Vol 122 (7) ◽  
pp. 1426-1427
Author(s):  
Fernando Rotellar ◽  
Pablo Martí‐Cruchaga ◽  
Gabriel Zozaya ◽  
Alberto Benito ◽  
Francisco Hidalgo ◽  
...  
Keyword(s):  
Hepatic Vein ◽  
Laparoscopic Approach ◽  
Middle Hepatic Vein ◽  
Major Hepatectomies ◽  
Caudal Approach

scholarly journals Management of Middle Hepatic Vein Injury during Laparoscopic Cholecystectomy: A Case Report

2020 ◽  
Vol 06 (01) ◽  
pp. e47-e48
Author(s):  
Juan Jose Santivañez ◽  
María Elena Velásquez ◽  
Manuel Cadena ◽  
Arturo Vergara
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Case Report ◽  
Hepatic Vein ◽  
Intraoperative Complications ◽  
Laparoscopic Approach ◽  
Middle Hepatic Vein ◽  
Management Approach ◽  
First Choice ◽  
Major Vessel ◽  
Vein Injury

Abstract Background Cholecystectomy continues to be the first choice for the treatment of symptomatic cholelithiasis. Especially in patients with acute cholecystitis, a laparoscopic approach has become the standard treatment option. Intraoperative complications of laparoscopic cholecystectomy include: bile duct injury, organ damage, and bleeding due to vascular injury. Difficult hemorrhage during laparoscopic cholecystectomy occurs in 0.1 to 1.9% of all cases. Besides major vessel injuries, gallbladder bed vasculature is reported as a common injury site, mostly secondary to middle hepatic vein lesions. Case Presentation We present a case report of a patient taken for a laparoscopic cholecystectomy. During the procedure, inadvertent middle hepatic vein injury occurs. Here we describe the management approach selected for this type of injury. Discussion We recommend careful dissection during the final steps of a laparoscopic cholecystectomy. Following cystic duct and cystic artery ligation, surgeons often inappropriately relax through the last part of the dissection. During this final dissection, if care is not taken, small vascular structures can be missed and injured.

Feasibility and Safety for Using Recipientʼs Middle Hepatic Vein for Drainage of the Right Paramedian Sector in Right Liver Graft

2009 ◽  
Vol 88 (1) ◽  
pp. 144-145
Author(s):  
Hirotaka Tashiro ◽  
Toshiyuki Itamoto ◽  
Hironobu Amano ◽  
Akihiko Oshita ◽  
Tsuyoshi Kobayashi ◽  
...  
Keyword(s):  
Hepatic Vein ◽  
Middle Hepatic Vein ◽  
Liver Graft ◽  
The Right

scholarly journals Portal inflow and pressure changes in right liver living donor liver transplantation including the middle hepatic vein

2011 ◽  
Vol 17 (2) ◽  
pp. 115-121 ◽  
Author(s):  
See Ching Chan ◽  
Chung Mau Lo ◽  
Kelvin K.C. Ng ◽  
Irene O.L. Ng ◽  
Boon Hun Yong ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Hepatic Vein ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Middle Hepatic Vein ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Pressure Changes

Effects of middle hepatic vein reconstruction on right liver graft regeneration

2003 ◽  
Vol 76 (5) ◽  
pp. 832-837 ◽  
Author(s):  
Nobuhisa Akamatsu ◽  
Yasuhiko Sugawara ◽  
Junichi Kaneko ◽  
Keiji Sano ◽  
Hiroshi Imamura ◽  
...  
Keyword(s):  
Hepatic Vein ◽  
Middle Hepatic Vein ◽  
Liver Graft ◽  
Hepatic Vein Reconstruction

A RARE CASE OF COMPLICATED LIVER ABSCESS WITH MIDDLE HEPATIC VEIN THROMBOSIS: A CASE REPORT AND REVIEW OF LITERATURE

2021 ◽  
pp. 1-2
Author(s):  
V.P.S. Punia ◽  
Praveen Raman Mishra ◽  
Shaavi Mittal ◽  
Akash Bharti ◽  
Prem Kumar ◽  
...  
Keyword(s):  
Liver Abscess ◽  
Hepatic Vein ◽  
Middle Hepatic Vein ◽  
Amoebic Liver Abscess ◽  
Hepatic Veins ◽  
Review Of Literature ◽  
Extraintestinal Manifestation ◽  
Vein Thrombosis ◽  
Histolytica Infection ◽  
Life Threatening

In developing countries Amoebic liver abscess is commonly encountered disease and it’s also the commonest extraintestinal manifestation of Entamoeba histolytica infection. Usual complication of Amoebic liver abscess arises due to collection of pus in various cavities, like in peritoneal cavity following perforation, in the pleural cavity which is known as empyema thoracis, and rarely it is complicated by life threatening conditions such as venous extension of the disease involving the hepatic veins and IVC, with only few cases reported. Here we describe a case of amoebic liver abscess extending across middle hepatic vein.

Rescue partial ALPPS for left hemihepatectomy with reconstruction of the middle hepatic vein

2021 ◽  
Author(s):  
Masaharu Kogure ◽  
Takaaki Arai ◽  
Hirokazu Momose ◽  
Ryota Matsuki ◽  
Yutaka Suzuki ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Vein ◽  
Retention Rate ◽  
Liver Volume ◽  
Future Liver Remnant ◽  
Middle Hepatic Vein ◽  
Liver Remnant ◽  
Total Liver Volume ◽  
Left Hemihepatectomy ◽  
Icg R15

Major hepatectomy in patients with insufficient future liver remnant (FLR) volume and impaired liver functional reserve has considerable risks for posthepatectomy liver failure (PHLF). The patient was a male in his 70 with an intrahepatic cholangiocarcinoma (ICC) in left hemiliver, involving the middle hepatic vein (MHV). Although FLR volume after left hemihepatectomy was estimated to be 64.4% of the total liver volume, an indocyanine green retention rate at 15 min (ICG-R15) value was 24.2%, thus the patient underwent left portal vein embolization (PVE). The FLR volume increased to 71.3%, however, the non-congestive FLR volume was re-estimated as 45.8% after resection of the MHV, the ICG-R15 value was 29.0%, and ICG-Krem was calculated as 0.037. We performed partial rescue ALPPS (Associating Liver Partition and Portal vein occlusion for Staged hepatectomy) for left hemihepatectomy with the MHV reconstruction. On the first stage, partial liver partition was done along Rex-Cantlie’s line, preserving the MHV and sacrificing the remaining branches to segment 8. The FLR volume increased to 77.4% on day 14. The ICG-R15 value was 29.6%, but ICG-Krem after MHV reconstruction was estimated to be 0.059. The second stage operation on day 21 was left hemihepatectomy with the MHV reconstruction using the left superficial femoral vein graft. The usage of rescue partial ALPPS may contribute to preventing PHLF by introducing occlusion of the portal and/or venous branches in the left hemiliver before curative hepatectomy.

Anatomy of the Middle Hepatic Vein Tributaries to Promote Safer Hepatic Vein-Guided Liver Resection

2021 ◽  
Author(s):  
Satoshi Ogiso ◽  
Satoru Seo ◽  
Takamichi Ishii ◽  
Shinya Okumura ◽  
Tomoaki Yoh ◽  
...  
Keyword(s):  
Liver Resection ◽  
Hepatic Vein ◽  
Middle Hepatic Vein
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