Arantius' ligament approach for the left extrahepatic Glissonean pedicle in pure laparoscopic left hemihepatectomy

Introduction Laparoscopic hemihepatectomy has not yet become widely accepted because of the technical difficulties in controlling each Glissonean pedicle laparoscopically. Materials and Surgical Technique The subjects in the present study included 12 patients who underwent laparoscopic left hemihepa...

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Veröffentlicht in:Asian journal of endoscopic surgery 2012-11, Vol.5 (4), p.187-190
Hauptverfasser: Cho, Akihiro, Yamamoto, Hiroshi, Kainuma, Osamu, Ota, Takumi, Park, SeongJin, Yanagibashi, Hiroo, Arimitsu, Hidehito, Ikeda, Atsushi, Souda, Hiroaki, Nabeya, Yoshihiro, Takiguchi, Nobuhiro, Nagata, Matsuo
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container_end_page 190
container_issue 4
container_start_page 187
container_title Asian journal of endoscopic surgery
container_volume 5
creator Cho, Akihiro
Yamamoto, Hiroshi
Kainuma, Osamu
Ota, Takumi
Park, SeongJin
Yanagibashi, Hiroo
Arimitsu, Hidehito
Ikeda, Atsushi
Souda, Hiroaki
Nabeya, Yoshihiro
Takiguchi, Nobuhiro
Nagata, Matsuo
description Introduction Laparoscopic hemihepatectomy has not yet become widely accepted because of the technical difficulties in controlling each Glissonean pedicle laparoscopically. Materials and Surgical Technique The subjects in the present study included 12 patients who underwent laparoscopic left hemihepatectomy between August 2007 and June 2011. Arantius' ligament was divided. Retracting the caudal stump of the ligament revealed a space between the left Glissonean pedicle and the liver parenchyma. The left Glissonean pedicle could be easily encircled by using an Endo Retract Maxi. No Glissonean injuries, including bleeding or biliary leakage, occurred in any of the 12 patients. Discussion Therefore, the Arantius' ligament approach for the left extrahepatic Glissonean pedicle appears to be feasible and safe for successfully performing pure laparoscopic left hemihepatectomy.
doi_str_mv 10.1111/j.1758-5910.2012.00139.x
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Materials and Surgical Technique The subjects in the present study included 12 patients who underwent laparoscopic left hemihepatectomy between August 2007 and June 2011. Arantius' ligament was divided. Retracting the caudal stump of the ligament revealed a space between the left Glissonean pedicle and the liver parenchyma. The left Glissonean pedicle could be easily encircled by using an Endo Retract Maxi. No Glissonean injuries, including bleeding or biliary leakage, occurred in any of the 12 patients. 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subjects Aged
Arantius' ligament
Female
Glissonean pedicle
Hepatectomy - methods
Humans
laparoscopic liver resection
Laparoscopy - methods
Ligaments - surgery
Male
Middle Aged
Treatment Outcome
title Arantius' ligament approach for the left extrahepatic Glissonean pedicle in pure laparoscopic left hemihepatectomy
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