학술논문

Our first laparoscopic right hepatectomy. A challenge for a surgical team.
Document Type
Article
Source
HPB. 2019 Supplement3, Vol. 21, pS624-S624. 1p.
Subject
*HEPATECTOMY
*RIGHT hemicolectomy
*HEPATIC artery
*HEPATIC veins
*SUPINE position
*PORTAL vein
*PORTAL vein surgery
Language
ISSN
1365-182X
Abstract
Surgical steps were: 1) right liver mobilization; 2)place of a textil tape around the hepatic hilum for Pringle manoeuver if necessary; 3) dissection and section of cystic artery and duct; 4) hilar dissection with control and section of right hepatic artery and right portal vein; 5)completion of cholecystectomy; 6) parenquimal transection, section of right hepatic duct with stapler and final section of the right hepatic vein with a vascular stapler. A midline incision was performed for the extraction of the specimen an a drain was left in place. Strict criteria of selection of patients should be applied in the early experience of the surgical teams in order to face this procedure. [Extracted from the article]