Analysis of intrahepatic Glisson's sheath vascular disconnection approach for anatomical hepatectomy by three-dimensional laparoscope
10.3760/cma.j.issn.0529-5815.2016.03.008
- VernacularTitle:三维腹腔镜Glisson鞘内血管离断法解剖性肝切除术的临床分析
- Author:
Yingfang FAN
1
;
Fei XIANG
;
Wei CAI
;
Jian YANG
;
Nan XIANG
;
Ning ZENG
;
Chihua FANG
Author Information
1. 南方医科大学珠江医院肝胆一科
- Keywords:
Liver neoplasms;
Hepatectomy;
Three dimentional laparoscopes;
Glisson's sheath
- From:
Chinese Journal of Surgery
2016;54(3):191-195
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical value of the intrahepatic Glisson's sheath vascular disconnection approach for anatomical hepatectomy by three-dimensional (3D) laparoscope.Methods Twenty-two patients(11 liver cancer and 11 benign diseases)underwent hepatectomy in Zhujiang Hospital,Southern Medical University from November 2013 to March 2015 were involved.All patients were performed anatomical hepatectomy by 3D laparoscope with the intrahepatic Glisson's sheath vascular disconnection approach.The anatomical time of first hepatic portal,operation time,intraoperative bleeding,postoperation hospitalization and the complication incidences were observed.Results All the 22 cases were performed successfully with the intrahepatic Glisson's sheath vascular disconnection and the anatomic hepatectomy.The anatomical time of first hepatic portal,operation time,intraoperative bleeding,the postoperation hospitalization duration and complication incidence rate were (43 ± 14) minutes (22-74 minutes),(295 ± 89) minutes (105-480 minutes),(546 ± 390) ml(50-1 500 ml),(9.8 ±2.8) days(5-16 days) and 18.2％ (4/22)in 22 patients,respectively.There was no death.Conclusions With the help of 3D laparoscope,the anatomy of Glisson pedicle could perform precisely and the dissection of vessels would be easy and accuracy.The 3D laparoscope is feasible for performing the anatomical hepatectomy.
