Laparoscopic left lateral sectionectomy using the Glissonian pedicel approach: a study of 8 patients
10.3760/cma.j.issn.1007-8118.2012.06.006
- VernacularTitle:Glisson蒂横断式腹腔镜左肝外叶切除术八例报告
- Author:
Liuxin CAI
;
Zheping FANG
;
Minling CHENG
;
Xuefeng DU
;
Zhenyu LI
;
Shangdong LV
- Publication Type:Journal Article
- Keywords:
Laparoscope;
Hepatectomy;
Glisson pedicel;
Laparoscopic Peng's multifunctional operative dissector
- From:
Chinese Journal of Hepatobiliary Surgery
2012;18(6):416-419
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the safety and feasibility of laparoscopic left lateral sectionectomy using the Glissonian pedicel approach.Methods The root of the round ligament of the liver was exposed and the Glissonian pedicel of the left lateral section was dissected,starting from left and using the lapa roscopic Peng's multifunctional operative dissector (LPMOD).After the Glissonian pedicel of segment Ⅱ and Ⅲ was dissected,clipped and cut,the ischemic boundary showed up.The liver was transected at the boundary of the ischemic liver,and the left hepatic vein and its branches were cut. Resutts The surgery was successtully performed in 8 patients.There was no conversion to open operation.The operative time was 110- 190 (151.0±35.4) min.The time of Glissonian pedicel dissection and liver resection was 70- 135 (101.0±24.1) min.Operative blood loss was 100-300(210.0± 89.4) ml.The ALT increased by 35- 102 (75.4± 26.5) U/L after operation and decreased to a normal level in 2-6 (3.0± 1.7) d.The postoperative hospital stay was 6-10 (8.2± 1.6) d.There was no major complication.Conclusion Laparoscopic left lateral sectionectomy using the Glissonian pedicel approach is safe and feasible.
