Laparoscopic Parenchymal-Sparing Liver Resections Using the Intrahepatic Glissonian Approach
Background One of the main criticisms of laparoscopic liver resection is that it is difficult, or not possible, to perform liver-sparing resections. Our aim was to present short videos where the intrahepatic Glissonian approach was used to perform anatomical liver segmental resections, instead of a...
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| Veröffentlicht in: | Annals of surgical oncology 2017-08, Vol.24 (8), p.2353-2354 |
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| creator | Machado, Marcel Autran C. Surjan, R. Basseres, T. Makdissi, F. |
| description | Background
One of the main criticisms of laparoscopic liver resection is that it is difficult, or not possible, to perform liver-sparing resections. Our aim was to present short videos where the intrahepatic Glissonian approach was used to perform anatomical liver segmental resections, instead of a larger operation, to avoid unnecessary sacrifice of the liver parenchyma.
Methods
We selected six types of anatomical liver resections to exemplify the use of the intrahepatic Glissonian approach to perform segment-oriented liver resections. These types of hepatectomies were used as an alternative to right or left hepatectomy, or as an alternative to extended liver resections.
Results
The intrahepatic Glissonian approach was feasible in all cases. The use of anatomical landmarks previously described was essential to reach and control the Glissonian pedicles. Among the liver-sparing resections, we were able to perform right anterior (S5 + S8) and posterior (S6 + S7) sectionectomies, resection of segments 2, 3, and 4, and mesohepatectomy (S4 + S5 + S8). No patient presented postoperative liver failure.
Conclusions
Laparoscopic liver-sparing resections are feasible and may be a good alternative to hemihepatectomies or extended liver resections. The use of the intrahepatic Glissonian approach can be useful. |
| doi_str_mv | 10.1245/s10434-017-5886-3 |
| format | Article |
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One of the main criticisms of laparoscopic liver resection is that it is difficult, or not possible, to perform liver-sparing resections. Our aim was to present short videos where the intrahepatic Glissonian approach was used to perform anatomical liver segmental resections, instead of a larger operation, to avoid unnecessary sacrifice of the liver parenchyma.
Methods
We selected six types of anatomical liver resections to exemplify the use of the intrahepatic Glissonian approach to perform segment-oriented liver resections. These types of hepatectomies were used as an alternative to right or left hepatectomy, or as an alternative to extended liver resections.
Results
The intrahepatic Glissonian approach was feasible in all cases. The use of anatomical landmarks previously described was essential to reach and control the Glissonian pedicles. Among the liver-sparing resections, we were able to perform right anterior (S5 + S8) and posterior (S6 + S7) sectionectomies, resection of segments 2, 3, and 4, and mesohepatectomy (S4 + S5 + S8). No patient presented postoperative liver failure.
Conclusions
Laparoscopic liver-sparing resections are feasible and may be a good alternative to hemihepatectomies or extended liver resections. The use of the intrahepatic Glissonian approach can be useful.</description><identifier>ISSN: 1068-9265</identifier><identifier>EISSN: 1534-4681</identifier><identifier>DOI: 10.1245/s10434-017-5886-3</identifier><identifier>PMID: 28508146</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Hepatectomy ; Hepatectomy - methods ; Hepatobiliary Tumors ; Humans ; Intraoperative Care ; Laparoscopy ; Laparoscopy - methods ; Liver ; Liver - surgery ; Liver diseases ; Liver Neoplasms - surgery ; Medicine ; Medicine & Public Health ; Oncology ; Organ Sparing Treatments ; Parenchyma ; Parenchymal Tissue - surgery ; Surgery ; Surgical Oncology</subject><ispartof>Annals of surgical oncology, 2017-08, Vol.24 (8), p.2353-2354</ispartof><rights>Society of Surgical Oncology 2017</rights><rights>Annals of Surgical Oncology is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-bcdecd8a322a26f5923238e3f42171c7b682bd5ea3ce08d7281c267b29b5f39b3</citedby><cites>FETCH-LOGICAL-c372t-bcdecd8a322a26f5923238e3f42171c7b682bd5ea3ce08d7281c267b29b5f39b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1245/s10434-017-5886-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1245/s10434-017-5886-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28508146$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Machado, Marcel Autran C.</creatorcontrib><creatorcontrib>Surjan, R.</creatorcontrib><creatorcontrib>Basseres, T.</creatorcontrib><creatorcontrib>Makdissi, F.</creatorcontrib><title>Laparoscopic Parenchymal-Sparing Liver Resections Using the Intrahepatic Glissonian Approach</title><title>Annals of surgical oncology</title><addtitle>Ann Surg Oncol</addtitle><addtitle>Ann Surg Oncol</addtitle><description>Background
One of the main criticisms of laparoscopic liver resection is that it is difficult, or not possible, to perform liver-sparing resections. Our aim was to present short videos where the intrahepatic Glissonian approach was used to perform anatomical liver segmental resections, instead of a larger operation, to avoid unnecessary sacrifice of the liver parenchyma.
Methods
We selected six types of anatomical liver resections to exemplify the use of the intrahepatic Glissonian approach to perform segment-oriented liver resections. These types of hepatectomies were used as an alternative to right or left hepatectomy, or as an alternative to extended liver resections.
Results
The intrahepatic Glissonian approach was feasible in all cases. The use of anatomical landmarks previously described was essential to reach and control the Glissonian pedicles. Among the liver-sparing resections, we were able to perform right anterior (S5 + S8) and posterior (S6 + S7) sectionectomies, resection of segments 2, 3, and 4, and mesohepatectomy (S4 + S5 + S8). No patient presented postoperative liver failure.
Conclusions
Laparoscopic liver-sparing resections are feasible and may be a good alternative to hemihepatectomies or extended liver resections. The use of the intrahepatic Glissonian approach can be useful.</description><subject>Hepatectomy</subject><subject>Hepatectomy - methods</subject><subject>Hepatobiliary Tumors</subject><subject>Humans</subject><subject>Intraoperative Care</subject><subject>Laparoscopy</subject><subject>Laparoscopy - methods</subject><subject>Liver</subject><subject>Liver - surgery</subject><subject>Liver diseases</subject><subject>Liver Neoplasms - surgery</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oncology</subject><subject>Organ Sparing Treatments</subject><subject>Parenchyma</subject><subject>Parenchymal Tissue - surgery</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>1068-9265</issn><issn>1534-4681</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kF1LwzAUhoMobk5_gDdS8Mabar6TXg7RORgo6u6EkKanrqNra9IJ-_dmbIoIXiUcnvc9hwehc4KvCeXiJhDMGU8xUanQWqbsAA2JiBMuNTmMfyx1mlEpBugkhCWOIMPiGA2oFlgTLofobWY769vg2q5yyZP10LjFZmXr9CXOq-Y9mVWf4JNnCOD6qm1CMg_bcb-AZNr03i6gs33MTuoqhLapbJOMu8631i1O0VFp6wBn-3eE5vd3r7cP6exxMr0dz1LHFO3T3BXgCm0ZpZbKUmSUUaaBlZwSRZzKpaZ5IcAyB1gXimriqFQ5zXJRsixnI3S1641rP9YQerOqgoO6tg2062CIzjKONc9ERC__oMt27Zt4nSEZ4UphRWWkyI5yUU3wUJrOVyvrN4Zgs1VvdupNNGq26g2LmYt98zpfQfGT-HYdAboDQrcVC_7X6n9bvwBzL47h</recordid><startdate>20170801</startdate><enddate>20170801</enddate><creator>Machado, Marcel Autran C.</creator><creator>Surjan, R.</creator><creator>Basseres, T.</creator><creator>Makdissi, F.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170801</creationdate><title>Laparoscopic Parenchymal-Sparing Liver Resections Using the Intrahepatic Glissonian Approach</title><author>Machado, Marcel Autran C. ; Surjan, R. ; Basseres, T. ; Makdissi, F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-bcdecd8a322a26f5923238e3f42171c7b682bd5ea3ce08d7281c267b29b5f39b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Hepatectomy</topic><topic>Hepatectomy - methods</topic><topic>Hepatobiliary Tumors</topic><topic>Humans</topic><topic>Intraoperative Care</topic><topic>Laparoscopy</topic><topic>Laparoscopy - methods</topic><topic>Liver</topic><topic>Liver - surgery</topic><topic>Liver diseases</topic><topic>Liver Neoplasms - surgery</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oncology</topic><topic>Organ Sparing Treatments</topic><topic>Parenchyma</topic><topic>Parenchymal Tissue - surgery</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Machado, Marcel Autran C.</creatorcontrib><creatorcontrib>Surjan, R.</creatorcontrib><creatorcontrib>Basseres, T.</creatorcontrib><creatorcontrib>Makdissi, F.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Machado, Marcel Autran C.</au><au>Surjan, R.</au><au>Basseres, T.</au><au>Makdissi, F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic Parenchymal-Sparing Liver Resections Using the Intrahepatic Glissonian Approach</atitle><jtitle>Annals of surgical oncology</jtitle><stitle>Ann Surg Oncol</stitle><addtitle>Ann Surg Oncol</addtitle><date>2017-08-01</date><risdate>2017</risdate><volume>24</volume><issue>8</issue><spage>2353</spage><epage>2354</epage><pages>2353-2354</pages><issn>1068-9265</issn><eissn>1534-4681</eissn><abstract>Background
One of the main criticisms of laparoscopic liver resection is that it is difficult, or not possible, to perform liver-sparing resections. Our aim was to present short videos where the intrahepatic Glissonian approach was used to perform anatomical liver segmental resections, instead of a larger operation, to avoid unnecessary sacrifice of the liver parenchyma.
Methods
We selected six types of anatomical liver resections to exemplify the use of the intrahepatic Glissonian approach to perform segment-oriented liver resections. These types of hepatectomies were used as an alternative to right or left hepatectomy, or as an alternative to extended liver resections.
Results
The intrahepatic Glissonian approach was feasible in all cases. The use of anatomical landmarks previously described was essential to reach and control the Glissonian pedicles. Among the liver-sparing resections, we were able to perform right anterior (S5 + S8) and posterior (S6 + S7) sectionectomies, resection of segments 2, 3, and 4, and mesohepatectomy (S4 + S5 + S8). No patient presented postoperative liver failure.
Conclusions
Laparoscopic liver-sparing resections are feasible and may be a good alternative to hemihepatectomies or extended liver resections. The use of the intrahepatic Glissonian approach can be useful.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28508146</pmid><doi>10.1245/s10434-017-5886-3</doi><tpages>2</tpages></addata></record> |
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| ispartof | Annals of surgical oncology, 2017-08, Vol.24 (8), p.2353-2354 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Hepatectomy Hepatectomy - methods Hepatobiliary Tumors Humans Intraoperative Care Laparoscopy Laparoscopy - methods Liver Liver - surgery Liver diseases Liver Neoplasms - surgery Medicine Medicine & Public Health Oncology Organ Sparing Treatments Parenchyma Parenchymal Tissue - surgery Surgery Surgical Oncology |
| title | Laparoscopic Parenchymal-Sparing Liver Resections Using the Intrahepatic Glissonian Approach |
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