Anatomy and clinical significance of hilar plate
10.19538/j.cjps.issn1005-2208.2019.02.05
- Author:
Chao-liu DAI
1
;
Chang-jun JIA
1
Author Information
1. Department of Hepatobiliary and Splenic Surgery, Shengjing Hospital of China Medical University Shenyang 110004, China
- Publication Type:Journal Article
- Keywords:
hilar plate;
hepatectomy;
inflow occlussion
- From:
Chinese Journal of Practical Surgery
2019;39(02):122-126
- CountryChina
- Language:Chinese
-
Abstract:
The concept of hepatic hilar plate was first proposed by Couinaud in 1957. After more than 60 years of exploration and clinical practice, the related techniques of hepatic hilar plate exposure, including lowering hepatic hilar plate technique, extra-glissonean pedicle approach technique,have been used in hepatic vascular inflow occlussion of open and laparoscopic anatomical hepatectomy, resection of hepatic hilar complex tumors, management of hepatolithiasis and traumatic benign stricture of high bile duct. Hilar plate detachment and glissonean pedicle approach technique are more and more widely used, which have become a compulsory course for hepatobiliary surgeons to reduce the difficulty of perihilar surgery and increase the safety of liver surgery.
