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Safe and feasible extrahepatic Glissonean access in laparoscopic anatomical liver resection.
- Source :
-
Surgical endoscopy [Surg Endosc] 2011 Apr; Vol. 25 (4), pp. 1333-6. Date of Electronic Publication: 2010 Sep 25. - Publication Year :
- 2011
-
Abstract
- Background: Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic liver resection, laparoscopic anatomical liver resection still presents major technical difficulties, such as pedicle control.<br />Methods: Subjects comprised 27 patients who underwent laparoscopic anatomical liver resection using an extrahepatic Glissonean pedicle transaction between August 2005 and February 2010.<br />Results: A total of 61 Glissonean pedicles could be encircled en bloc extrahepatically, as planned. No serious complications, including major bleeding or injury of the portal triad, were encountered during procedures.<br />Conclusions: Extrahepatic Glissonean access seems to be feasible and safe for laparoscopic anatomical resection of the liver.
- Subjects :
- Adolescent
Adult
Aged
Carcinoma, Hepatocellular surgery
Feasibility Studies
Female
Humans
Intraoperative Complications prevention & control
Ligation methods
Liver blood supply
Liver pathology
Liver Diseases surgery
Liver Neoplasms secondary
Liver Neoplasms surgery
Male
Middle Aged
Portal System surgery
Retrospective Studies
Young Adult
Hepatectomy methods
Laparoscopy methods
Liver surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1432-2218
- Volume :
- 25
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Surgical endoscopy
- Publication Type :
- Academic Journal
- Accession number :
- 20872017
- Full Text :
- https://doi.org/10.1007/s00464-010-1358-6