scholarly journals Initial experience of robotic extrahepatic Glissonean pedicle approach for anatomical liver resection: techniques and short term perioperative outcomes

2021 ◽  
Vol 25 (1) ◽  
pp. S250-S250
Author(s):  
Jin Ho LEE ◽  
Jae Uk JEONG ◽  
Hyung Soon LEE ◽  
Kuk Hwan KWON
Keyword(s):  
Liver Resection ◽  
Perioperative Outcomes ◽  
Initial Experience ◽  
Short Term ◽  
Glissonean Pedicle ◽  
Anatomical Liver Resection

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.

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.

Robotic extrahepatic Glissonean pedicle approach for anatomic liver resection in the right liver: techniques and perioperative outcomes

2015 ◽  
Vol 30 (9) ◽  
pp. 3882-3888 ◽  
Author(s):  
Jin Ho Lee ◽  
Dai Hoon Han ◽  
Dong-Su Jang ◽  
Gi Hong Choi ◽  
Jin Sub Choi
Keyword(s):  
Liver Resection ◽  
Perioperative Outcomes ◽  
Glissonean Pedicle ◽  
The Right

scholarly journals Jejunostomy at the time of esophagectomy is associated with improved short-term perioperative outcomes: analysis of the NSQIP database

2020 ◽  
Vol 11 (2) ◽  
pp. 421-430 ◽  
Author(s):  
Michael Watson ◽  
Sally Trufan ◽  
Jennifer H. Benbow ◽  
Nicole L. Gower ◽  
Joshua Hill ◽  
...  
Keyword(s):  
Perioperative Outcomes ◽  
Short Term ◽  
Outcomes Analysis
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