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

All Science Journal Classification (ASJC) codes

  • Surgery

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