| Laparoscopic hand-assisted right hemihepatectomy by ultrasound-directed intrahepatic approach. | |
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MedLine Citation:
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PMID: 19779667 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND/PURPOSE: Laparoscopic hepatectomy is a promising option for patients affected by a liver mass, and the procedure is gaining popularity. Minor laparoscopic resections have been widely reported. In contrast, major laparoscopic hepatectomy has been performed in only a limited number of cases. Hand-assisted laparoscopic liver surgery has been advocated in order to improve liver exposure and vascular control and increase the safety of the procedure. Transparenchymal en-bloc transection of the right portal triad has been reported to be safe and useful in open surgery. METHODS: We describe a personal technique for hand-assisted right hemihepatectomy. With ultrasound guidance, the right hepatic pedicle is isolated intrahepatically and transected en bloc with a single firing of an endostapler. Parenchymal transection is carried out with ultrasonically activated or vessel-sealing devices together with endostaplers. RESULTS: The procedure was successfully accomplished in three patients. The Pringle maneuver was never performed. No intraoperative or postoperative complications occurred. CONCLUSION: This study is the first to report a technique of right hemihepatectomy that combines hand-assisted laparoscopy and an ultrasound-guided intrahepatic approach. This technique may be a useful option to simplify the operation, reduce operative time, and increase the safety of the procedure. |
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Authors:
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Giulio Belli; Alberto D'Agostino; Corrado Fantini; Andrea Belli; Luigi Cioffi; Paolo Limongelli; Gianluca Russo |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of hepato-biliary-pancreatic surgery Volume: 16 ISSN: 1436-0691 ISO Abbreviation: J Hepatobiliary Pancreat Surg Publication Date: 2009 |
Date Detail:
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Created Date: 2009-12-07 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9431940 Medline TA: J Hepatobiliary Pancreat Surg Country: Japan |
Other Details:
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Languages: eng Pagination: 781-5 Citation Subset: IM |
Affiliation:
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Department of General and Hepato-Pancreato-Biliary Surgery, S.M. Loreto Nuovo Hospital, Naples, Italy. chirurgia.loretonuovo@tin.it |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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