Evaluation of laparoscopic precise dissection of the hepatic pedicle in liver resection

VernacularTitle:腹腔镜下精准肝蒂解剖在肝切除术中的应用评价
Author: Yongjun CHEN ; Bangyu LU ; Xiaoyong CAI ; Yubin HUANG ; Xiaojian JIN ; Yihe YAN
Publication Type:Journal Article
Keywords: Laparoscopy; Precise dissection of liver pedicle; Hepatectomy; Blood occlusion
From: Chinese Journal of Hepatobiliary Surgery 2014;20(6):422-424
CountryChina
Language:Chinese
Abstract: Objective To determine the safety and feasibility of laparoscopic dissection of hepatic pedicle in liver resections.Methods Laparoscopic dissection of hepatic pedicle was performed to achieve selective hepatic vascular inflow occlusion during anatomical hepatectomies in 43 patients with liver lesions.The average age was (46.1 ± 3.5) years.The hepatic pedicle was dissected precisely with sharp and blunt dissections to expose the portal vein,hepatic artery,and their branches.The hepatic ischemic area was judged after selective hepatic vascular inflow occlusion and the liver lesions were then resected.Results All 43 patients received anatomical hepatectomies successfully using the technique of laparoscopic hepatic pedicle dissection for selective hepatic vascular inflow occlusion.The mean operative time was (63.6 ± 11.2)minutes.The average blood loss was (243.8 ± 35.5)ml,and the mean hospital stay was (7.1 ± 1.6) days.Conclusion Laparoscopic dissection of hepatic pedicle in liver resection was feasible and safe.