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Left hepatectomy accompanied by a resection of the whole caudate lobe using the dorsally fixed liver-hanging maneuver.


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タイトル: Left hepatectomy accompanied by a resection of the whole caudate lobe using the dorsally fixed liver-hanging maneuver.
著者: Nanashima, Atsushi / Tobinaga, Syuuichi / Abo, Takafumi / Sawai, Terumitsu / Nagayasu, Takeshi
発行日: 2011年 3月
出版者: Springer Verlag
引用: Surgery Today, 41(3), pp.453-458; 2011
抄録: A resection of the caudate lobe often needs to be combined with a hemi-hepatectomy for hilar cholangiocarcinoma or a liver tumor in segment 1. To achieve complete resection of the whole caudate lobe, the cut line between the right edge of the paracaval portion and the right lateral sector should be precisely controlled. The liver-hanging maneuver (LHM) is a useful anterior approach that does not require mobilization of the remnant liver. However, the precise set-up of the cut line of the right edge has not been optimized in previous reports. We herein introduce a new modification of LHM that we named the "dorsally fixed liver-hanging maneuver" (DF-LHM) based on the results in five patients who underwent left hepatectomy combined with a total resection of segment 1. This technique provided adequate cut planes along the right edge of the caudate lobe, shortening the transection time and reducing intraoperative blood loss. The DF-LHM may represent a new key technique for this type of hepatectomy, and further applications for other anatomical resections can be modeled on the strategy.
キーワード: Caudate lobe / Left hemi-hepatectomy / Liver-hanging maneuver
URI: http://hdl.handle.net/10069/25476
ISSN: 09411291
DOI: 10.1007/s00595-010-4291-3
PubMed ID: 21365437
権利: © Springer 2011. / The original publication is available at www.springerlink.com
資料タイプ: Journal Article
原稿種類: author
出現コレクション:130 学術雑誌論文

引用URI : http://hdl.handle.net/10069/25476

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