Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding

Tetsuo Ikeda, Yusuke Yonemura, Naoyuki Ueda, Akira Kabashima, Ken Shirabe, Akinobu Taketomi, Tomoharu Yoshizumi, Hideaki Uchiyama, Noboru Harada, Hideki Ijichi, Yosihiro Kakeji, Masaru Morita, Shunichi Tsujitani, Yoshihiko Maehara

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Purpose: Although laparoscopic liver resection has been widely adopted, performing a pure laparoscopic right hepatectomy remains a challenging procedure. The aim of this report is to evaluate the efficiency of a pure laparoscopic right hepatectomy (PLRH) in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver. Methods: Pure laparoscopic right hepatectomy was performed in the semi-prone position with the use of an intrahepatic Glissonian approach and modified hanging maneuver for patients with primary liver cancer (n = 3) and metastatic liver cancer (n = 1). Results: The intraoperative total blood loss was only 95-140 g (mean: 126.2 g). None of the patients required a blood transfusion, and no serious complications were encountered. The durations of the surgeries ranged from were 308 to 445 min (mean: 394.8 min). The postoperative hospital stay was 8-11 days (mean 9.5 days). Conclusion: Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver is thus considered to be a safe modality, which minimizes intraoperative bleeding.

Original languageEnglish
Pages (from-to)1592-1598
Number of pages7
JournalSurgery today
Volume41
Issue number12
DOIs
Publication statusPublished - Dec 1 2011

Fingerprint

Prone Position
Hepatectomy
Hemorrhage
Liver Neoplasms
Blood Transfusion
Length of Stay
Liver

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding. / Ikeda, Tetsuo; Yonemura, Yusuke; Ueda, Naoyuki; Kabashima, Akira; Shirabe, Ken; Taketomi, Akinobu; Yoshizumi, Tomoharu; Uchiyama, Hideaki; Harada, Noboru; Ijichi, Hideki; Kakeji, Yosihiro; Morita, Masaru; Tsujitani, Shunichi; Maehara, Yoshihiko.

In: Surgery today, Vol. 41, No. 12, 01.12.2011, p. 1592-1598.

Research output: Contribution to journalArticle

Ikeda, T, Yonemura, Y, Ueda, N, Kabashima, A, Shirabe, K, Taketomi, A, Yoshizumi, T, Uchiyama, H, Harada, N, Ijichi, H, Kakeji, Y, Morita, M, Tsujitani, S & Maehara, Y 2011, 'Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding', Surgery today, vol. 41, no. 12, pp. 1592-1598. https://doi.org/10.1007/s00595-010-4479-6
Ikeda, Tetsuo ; Yonemura, Yusuke ; Ueda, Naoyuki ; Kabashima, Akira ; Shirabe, Ken ; Taketomi, Akinobu ; Yoshizumi, Tomoharu ; Uchiyama, Hideaki ; Harada, Noboru ; Ijichi, Hideki ; Kakeji, Yosihiro ; Morita, Masaru ; Tsujitani, Shunichi ; Maehara, Yoshihiko. / Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding. In: Surgery today. 2011 ; Vol. 41, No. 12. pp. 1592-1598.
@article{d6494e0337474c45875b661ff70f643e,
title = "Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding",
abstract = "Purpose: Although laparoscopic liver resection has been widely adopted, performing a pure laparoscopic right hepatectomy remains a challenging procedure. The aim of this report is to evaluate the efficiency of a pure laparoscopic right hepatectomy (PLRH) in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver. Methods: Pure laparoscopic right hepatectomy was performed in the semi-prone position with the use of an intrahepatic Glissonian approach and modified hanging maneuver for patients with primary liver cancer (n = 3) and metastatic liver cancer (n = 1). Results: The intraoperative total blood loss was only 95-140 g (mean: 126.2 g). None of the patients required a blood transfusion, and no serious complications were encountered. The durations of the surgeries ranged from were 308 to 445 min (mean: 394.8 min). The postoperative hospital stay was 8-11 days (mean 9.5 days). Conclusion: Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver is thus considered to be a safe modality, which minimizes intraoperative bleeding.",
author = "Tetsuo Ikeda and Yusuke Yonemura and Naoyuki Ueda and Akira Kabashima and Ken Shirabe and Akinobu Taketomi and Tomoharu Yoshizumi and Hideaki Uchiyama and Noboru Harada and Hideki Ijichi and Yosihiro Kakeji and Masaru Morita and Shunichi Tsujitani and Yoshihiko Maehara",
year = "2011",
month = "12",
day = "1",
doi = "10.1007/s00595-010-4479-6",
language = "English",
volume = "41",
pages = "1592--1598",
journal = "Surgery Today",
issn = "0941-1291",
publisher = "Springer Japan",
number = "12",

}

TY - JOUR

T1 - Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic glissonian approach and a modified hanging maneuver to minimize intraoperative bleeding

AU - Ikeda, Tetsuo

AU - Yonemura, Yusuke

AU - Ueda, Naoyuki

AU - Kabashima, Akira

AU - Shirabe, Ken

AU - Taketomi, Akinobu

AU - Yoshizumi, Tomoharu

AU - Uchiyama, Hideaki

AU - Harada, Noboru

AU - Ijichi, Hideki

AU - Kakeji, Yosihiro

AU - Morita, Masaru

AU - Tsujitani, Shunichi

AU - Maehara, Yoshihiko

PY - 2011/12/1

Y1 - 2011/12/1

N2 - Purpose: Although laparoscopic liver resection has been widely adopted, performing a pure laparoscopic right hepatectomy remains a challenging procedure. The aim of this report is to evaluate the efficiency of a pure laparoscopic right hepatectomy (PLRH) in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver. Methods: Pure laparoscopic right hepatectomy was performed in the semi-prone position with the use of an intrahepatic Glissonian approach and modified hanging maneuver for patients with primary liver cancer (n = 3) and metastatic liver cancer (n = 1). Results: The intraoperative total blood loss was only 95-140 g (mean: 126.2 g). None of the patients required a blood transfusion, and no serious complications were encountered. The durations of the surgeries ranged from were 308 to 445 min (mean: 394.8 min). The postoperative hospital stay was 8-11 days (mean 9.5 days). Conclusion: Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver is thus considered to be a safe modality, which minimizes intraoperative bleeding.

AB - Purpose: Although laparoscopic liver resection has been widely adopted, performing a pure laparoscopic right hepatectomy remains a challenging procedure. The aim of this report is to evaluate the efficiency of a pure laparoscopic right hepatectomy (PLRH) in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver. Methods: Pure laparoscopic right hepatectomy was performed in the semi-prone position with the use of an intrahepatic Glissonian approach and modified hanging maneuver for patients with primary liver cancer (n = 3) and metastatic liver cancer (n = 1). Results: The intraoperative total blood loss was only 95-140 g (mean: 126.2 g). None of the patients required a blood transfusion, and no serious complications were encountered. The durations of the surgeries ranged from were 308 to 445 min (mean: 394.8 min). The postoperative hospital stay was 8-11 days (mean 9.5 days). Conclusion: Pure laparoscopic right hepatectomy in the semi-prone position using the intrahepatic Glissonian approach and a modified hanging maneuver is thus considered to be a safe modality, which minimizes intraoperative bleeding.

UR - http://www.scopus.com/inward/record.url?scp=84855166578&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84855166578&partnerID=8YFLogxK

U2 - 10.1007/s00595-010-4479-6

DO - 10.1007/s00595-010-4479-6

M3 - Article

VL - 41

SP - 1592

EP - 1598

JO - Surgery Today

JF - Surgery Today

SN - 0941-1291

IS - 12

ER -