Modified Hanging Maneuver Using the Goldfinger Dissector in Laparoscopic Right and Left Hepatectomy

ثبت نشده
چکیده

Background: The liver hanging maneuver is a useful technique to transect the liver parenchyma in an open approach while lifting it with a tape passed between the anterior surface of the inferior vena cava and the liver parenchyma. The hanging maneuver during laparoscopic liver resection is not routinely utilized. Materials and Methods: We describe the technique and results of a modified hanging maneuver using the Goldfinger dissector in 13 right and 5 left hepatectomies. This technique allowed us to dissect the space between right and middle hepatic veins; to create the inferosuperior arcade through the space between the anterior surface of the vena cava and the posterior surface of the liver; to lift the cutting area of the liver from the posterior to the anterior direction; to indicate the parenchymal transection line. Results: The median resection time and blood loss were 96 min and 220 ml respectively. No conversion was recorded. Two complications (11%) occurred: a biliary fistula and a respiratory distress syndrome, spontaneously resolved. ConReceived: September 21, 2012 Accepted: November 16, 2012 Published online: January 7, 2013 Roberto I. Troisi, MD, PhD, FEBS Department of General and Hepato-Biliary Surgery, Liver Transplantation Service, Ghent University Hospital Medical School De Pintelaan 185, 2K12 IC, BE–9000 Ghent (Belgium) E-Mail roberto.troisi @ ugent.be © 2012 S. Karger AG, Basel 0253–4886/12/0296–0463$38.00/0 Accessible online at: www.karger.com/dsu D ow nl oa de d by : 54 .7 0. 40 .1 1 10 /6 /2 01 7 11 :0 0: 26 A M

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Modified hanging maneuver using the goldfinger dissector in laparoscopic right and left hepatectomy.

BACKGROUND The liver hanging maneuver is a useful technique to transect the liver parenchyma in an open approach while lifting it with a tape passed between the anterior surface of the inferior vena cava and the liver parenchyma. The hanging maneuver during laparoscopic liver resection is not routinely utilized. MATERIALS AND METHODS We describe the technique and results of a modified hanging...

متن کامل

Modified Hanging Maneuver Using the Goldfinger Dissector in Laparoscopic Right and Left Hepatectomy

Background: The liver hanging maneuver is a useful technique to transect the liver parenchyma in an open approach while lifting it with a tape passed between the anterior surface of the inferior vena cava and the liver parenchyma. The hanging maneuver during laparoscopic liver resection is not routinely utilized. Materials and Methods: We describe the technique and results of a modified hanging...

متن کامل

Modified Hanging Maneuver Using the Goldfinger Dissector in Laparoscopic Right and Left Hepatectomy

Background: The liver hanging maneuver is a useful technique to transect the liver parenchyma in an open approach while lifting it with a tape passed between the anterior surface of the inferior vena cava and the liver parenchyma. The hanging maneuver during laparoscopic liver resection is not routinely utilized. Materials and Methods: We describe the technique and results of a modified hanging...

متن کامل

Modified Hanging Maneuver Using the Goldfinger Dissector in Laparoscopic Right and Left Hepatectomy

Background: The liver hanging maneuver is a useful technique to transect the liver parenchyma in an open approach while lifting it with a tape passed between the anterior surface of the inferior vena cava and the liver parenchyma. The hanging maneuver during laparoscopic liver resection is not routinely utilized. Materials and Methods: We describe the technique and results of a modified hanging...

متن کامل

Extended right hepatectomy for hilar bile duct carcinoma using the modified liver hanging maneuver.

To achieve complete extended right hepatectomy or trisectionectomy for a bismuth type IV hilar bile duct carcinoma, we propose the application of Belghiti's liver hanging maneuver (LHM) using a small nasogastric tube. This small nasogastric tube was placed in the cut plane: the top of the tube was placed between the hepatic veins. The tube was placed along the border between the left lateral se...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012