Laparoscopic Right Hepatectomy with Selective Vascular Exclusion

被引：12

作者：

Dagher, Ibrahim ^{[1
,2
]}

Di Giuro, Giuseppe ^{[1
]}

Lainas, Panagiotis ^{[1
]}

Franco, Dominique ^{[1
,2
]}

机构：

[1] Hop Antoine Beclere, Dept Surg, F-92141 Clamart, France

[2] Univ Paris 11, F-91405 Orsay, France

来源：

JOURNAL OF GASTROINTESTINAL SURGERY | 2009年 / 13卷 / 01期

关键词：

Laparoscopy; Right hepatectomy; Liver; Vascular control;

D O I：

10.1007/s11605-008-0602-z

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Laparoscopic right hepatectomy remains a challenge for liver surgeons. This video illustrates, step by step, a standardized technique for laparoscopic right hepatectomy with selective vascular exclusion. The main steps of this totally laparoscopic technique are: extraparenchymal control of vascular inflow, extraparenchymal division of the right hepatic duct, complete mobilization of the right liver, control and division of the right hepatic vein, and parenchymal transection. The duration of surgery was 280 min, and the blood loss was 100 ml. The postoperative period was uneventful, and the length of stay was 7 days. This technique has been proven to be safe and easily reproducible in hands of surgeons with expertise in both liver and laparoscopic surgery.

引用

页码：148 / 149

页数：2