Anterior approach for pure laparoscopic donor right hepatectomy
Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes appli...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Hasegawa, Yasushi [verfasserIn] Nitta, Hiroyuki [verfasserIn] Takahara, Takeshi [verfasserIn] Katagiri, Hirokatsu [verfasserIn] Kanno, Shoji [verfasserIn] Umemura, Akira [verfasserIn] Sasaki, Akira [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Surgical endoscopy and other interventional techniques - New York, NY : Springer, 1987, 34(2020), 10 vom: 09. Juni, Seite 4677-4678 |
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| Übergeordnetes Werk: |
volume:34 ; year:2020 ; number:10 ; day:09 ; month:06 ; pages:4677-4678 |
| Links: |
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| DOI / URN: |
10.1007/s00464-020-07649-7 |
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| Katalog-ID: |
SPR041143264 |
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| 520 | |a Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. | ||
| 650 | 4 | |a Anterior approach |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Donor |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Hepatectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Laparoscopy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Liver transplantation |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Nitta, Hiroyuki |e verfasserin |4 aut | |
| 700 | 1 | |a Takahara, Takeshi |e verfasserin |4 aut | |
| 700 | 1 | |a Katagiri, Hirokatsu |e verfasserin |4 aut | |
| 700 | 1 | |a Kanno, Shoji |e verfasserin |4 aut | |
| 700 | 1 | |a Umemura, Akira |e verfasserin |4 aut | |
| 700 | 1 | |a Sasaki, Akira |e verfasserin |4 aut | |
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10.1007/s00464-020-07649-7 doi (DE-627)SPR041143264 (SPR)s00464-020-07649-7-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Hasegawa, Yasushi verfasserin aut Anterior approach for pure laparoscopic donor right hepatectomy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. Anterior approach (dpeaa)DE-He213 Donor (dpeaa)DE-He213 Hepatectomy (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Liver transplantation (dpeaa)DE-He213 Nitta, Hiroyuki verfasserin aut Takahara, Takeshi verfasserin aut Katagiri, Hirokatsu verfasserin aut Kanno, Shoji verfasserin aut Umemura, Akira verfasserin aut Sasaki, Akira verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 34(2020), 10 vom: 09. Juni, Seite 4677-4678 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 https://dx.doi.org/10.1007/s00464-020-07649-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 34 2020 10 09 06 4677-4678 |
| spelling |
10.1007/s00464-020-07649-7 doi (DE-627)SPR041143264 (SPR)s00464-020-07649-7-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Hasegawa, Yasushi verfasserin aut Anterior approach for pure laparoscopic donor right hepatectomy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. Anterior approach (dpeaa)DE-He213 Donor (dpeaa)DE-He213 Hepatectomy (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Liver transplantation (dpeaa)DE-He213 Nitta, Hiroyuki verfasserin aut Takahara, Takeshi verfasserin aut Katagiri, Hirokatsu verfasserin aut Kanno, Shoji verfasserin aut Umemura, Akira verfasserin aut Sasaki, Akira verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 34(2020), 10 vom: 09. Juni, Seite 4677-4678 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 https://dx.doi.org/10.1007/s00464-020-07649-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 34 2020 10 09 06 4677-4678 |
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10.1007/s00464-020-07649-7 doi (DE-627)SPR041143264 (SPR)s00464-020-07649-7-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Hasegawa, Yasushi verfasserin aut Anterior approach for pure laparoscopic donor right hepatectomy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. Anterior approach (dpeaa)DE-He213 Donor (dpeaa)DE-He213 Hepatectomy (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Liver transplantation (dpeaa)DE-He213 Nitta, Hiroyuki verfasserin aut Takahara, Takeshi verfasserin aut Katagiri, Hirokatsu verfasserin aut Kanno, Shoji verfasserin aut Umemura, Akira verfasserin aut Sasaki, Akira verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 34(2020), 10 vom: 09. Juni, Seite 4677-4678 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 https://dx.doi.org/10.1007/s00464-020-07649-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 34 2020 10 09 06 4677-4678 |
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10.1007/s00464-020-07649-7 doi (DE-627)SPR041143264 (SPR)s00464-020-07649-7-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Hasegawa, Yasushi verfasserin aut Anterior approach for pure laparoscopic donor right hepatectomy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. Anterior approach (dpeaa)DE-He213 Donor (dpeaa)DE-He213 Hepatectomy (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Liver transplantation (dpeaa)DE-He213 Nitta, Hiroyuki verfasserin aut Takahara, Takeshi verfasserin aut Katagiri, Hirokatsu verfasserin aut Kanno, Shoji verfasserin aut Umemura, Akira verfasserin aut Sasaki, Akira verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 34(2020), 10 vom: 09. Juni, Seite 4677-4678 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 https://dx.doi.org/10.1007/s00464-020-07649-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 34 2020 10 09 06 4677-4678 |
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10.1007/s00464-020-07649-7 doi (DE-627)SPR041143264 (SPR)s00464-020-07649-7-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Hasegawa, Yasushi verfasserin aut Anterior approach for pure laparoscopic donor right hepatectomy 2020 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. Anterior approach (dpeaa)DE-He213 Donor (dpeaa)DE-He213 Hepatectomy (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Liver transplantation (dpeaa)DE-He213 Nitta, Hiroyuki verfasserin aut Takahara, Takeshi verfasserin aut Katagiri, Hirokatsu verfasserin aut Kanno, Shoji verfasserin aut Umemura, Akira verfasserin aut Sasaki, Akira verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 34(2020), 10 vom: 09. Juni, Seite 4677-4678 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 https://dx.doi.org/10.1007/s00464-020-07649-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 34 2020 10 09 06 4677-4678 |
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Enthalten in Surgical endoscopy and other interventional techniques 34(2020), 10 vom: 09. Juni, Seite 4677-4678 volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 |
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Enthalten in Surgical endoscopy and other interventional techniques 34(2020), 10 vom: 09. Juni, Seite 4677-4678 volume:34 year:2020 number:10 day:09 month:06 pages:4677-4678 |
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Hasegawa, Yasushi @@aut@@ Nitta, Hiroyuki @@aut@@ Takahara, Takeshi @@aut@@ Katagiri, Hirokatsu @@aut@@ Kanno, Shoji @@aut@@ Umemura, Akira @@aut@@ Sasaki, Akira @@aut@@ |
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This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. 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Hasegawa, Yasushi |
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Hasegawa, Yasushi ddc 610 bkl 44.87 misc Anterior approach misc Donor misc Hepatectomy misc Laparoscopy misc Liver transplantation Anterior approach for pure laparoscopic donor right hepatectomy |
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610 ASE 44.87 bkl Anterior approach for pure laparoscopic donor right hepatectomy Anterior approach (dpeaa)DE-He213 Donor (dpeaa)DE-He213 Hepatectomy (dpeaa)DE-He213 Laparoscopy (dpeaa)DE-He213 Liver transplantation (dpeaa)DE-He213 |
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Surgical endoscopy and other interventional techniques |
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Hasegawa, Yasushi Nitta, Hiroyuki Takahara, Takeshi Katagiri, Hirokatsu Kanno, Shoji Umemura, Akira Sasaki, Akira |
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anterior approach for pure laparoscopic donor right hepatectomy |
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Anterior approach for pure laparoscopic donor right hepatectomy |
| abstract |
Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. |
| abstractGer |
Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. |
| abstract_unstemmed |
Background Pure laparoscopic donor hepatectomy (PLDH) is being increasingly performed at centers with experienced surgeons [1–6]. This procedure is still developing and is associated with several challenges owing to its technical difficulty [7–9]. Conversely, the anterior approach is sometimes applied to both laparoscopic and open right hepatectomy for management of tumors in the liver [10, 11]. However, there are no reports regarding the use of the anterior approach for PLDH. We found this method to be useful; therefore, we aimed to introduce the novel procedure using a video clip. Methods The donor was placed in the supine position. First, the right side of the inferior vena cava was dissected instead of performing the liver hanging maneuver. The right Glissonean pedicle was encircled and controlled, and the liver parenchyma was completely transected. Thereafter, the ligaments around the liver were dissected, and the graft was mobilized. The hilar vessels were respectively separated. Finally, the right hepatic duct, right hepatic artery, right portal vein, and right hepatic vein were divided, and the graft liver was retrieved. This study was approved by institutional ethics board (MH2019-119), and informed consent was taken from the patient. Results The overall surgical time was 400 min, the volume of blood loss was 31 mL, the warm ischemic time was 7 min, and no complications were seen. Conclusion The advantages of the anterior approach for right-sided PLDH might be attribute to reduction of compression injury and incidence of subcapsular hematoma, as liver mobilization is easily performed because of increased liver mobility. However, PLDH is a highly-skilled procedure, and indications for PLDH should be extended in a step-wise manner. Further, the procedure should be performed only by highly proficient surgeons having extensive experience in both laparoscopic liver resection and living donor liver transplantation. |
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| title_short |
Anterior approach for pure laparoscopic donor right hepatectomy |
| url |
https://dx.doi.org/10.1007/s00464-020-07649-7 |
| remote_bool |
true |
| author2 |
Nitta, Hiroyuki Takahara, Takeshi Katagiri, Hirokatsu Kanno, Shoji Umemura, Akira Sasaki, Akira |
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Nitta, Hiroyuki Takahara, Takeshi Katagiri, Hirokatsu Kanno, Shoji Umemura, Akira Sasaki, Akira |
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10.1007/s00464-020-07649-7 |
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2024-07-03T20:29:21.218Z |
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| score |
7.398178 |