Revisiting the role of the hepatic vein in laparoscopic liver resection

来源 :肝癌研究(英文版) | 被引量 : 0次 | 上传用户:laobi87
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Laparoscopic liver resection (LLR) has expanded to include major liver resection and systematic resection as the techniques have advanced. Regardless of the oncological significance of anatomical resection, dissection of the intersegmental plane is useful in liver resection because it makes liver dissection easier and does not leave an ischemic area. In laparoscopic surgery, the hepatic vein can be exposed with less bleeding than in open surgery because bleeding can be controlled by pneumoperitoneum pressure. Therefore, the hepatic vein is a useful indicator to guide the dissected surface and to determine the depth. However, the basic technique of exposing the hepatic vein during LLR is required. The hepatic vein root can be approached using either a cranial or dorsal approach, with the dorsal approach providing the favorable view characteristic of laparoscopy. Selecting the dissection layer with the Laennec's capsule of the hepatic vein roots in mind is also a useful technique to ensure more reliable dissection of the hepatic vein. We summarize previous reports on techniques for facilitating LLR using the hepatic vein as a guide and outline the role of each hepatic vein type. Although there are many reports of procedures using the hepatic vein as a guide, the terminology of the approach awaits standardization in the future.
其他文献
Aim: Laparoscopic liver resection (LLR) has been recognized as a minimally invasive surgery offering disease curability for liver tumors. Moreover, recent publi
Different strategies have been used to induce preoperative liver hypertrophy and reduce the risk of postoperative liver failure. Those have included both radiol
Non-alcoholic fatty liver disease (NAFLD) is the most prevalent liver disorder worldwide. It comprises a spectrum of conditions that range from steatosis to non
目的探讨原位肝移植供肝获取过程中发生撕裂伤的处理方式。方法对2018年2月至2021年1月清华大学附属北京清华长庚医院297例原位肝移植手术中供肝撕裂伤的情况进行回顾性分析
Chronic infection of the liver by the hepatitis B virus (HBV) is associated with increased risk for developing hepatocellular carcinoma (HCC). A multitude of st
Hepatocellular carcinoma (HCC) is the fifth most widespread cancer responsible for one fourth of cancer-related deaths globally. Persistent infection with hepat
Mutations involving CTNNB1, the gene encoding beta-catenin, and other molecular alterations that affect the Wnt/beta-catenin signaling pathway are exceptionally
Hepatocellular carcinoma (HCC) is the most common type of primary liver malignancy and the fourth leading cause of cancer-related deaths globally. HCC is often
目的探讨经皮肝胆管穿刺碎石术(PTCSL)术后胆漏并发症的诊治及预防。方法回顾性总结分析2016年1月至2019年12月湖南省人民医院肝胆外科完成的40例PTCSL的病例资料。结果PTCS
Risk prediction modelling for hepatocellular carcinoma (HCC) has been the focus of research in the last decade. The prediction models would help HCC risk strati