A novel modified hanging maneuver in laparoscopic left hemihepatectomy
| Autor: | Takashi Kuise, Takahito Yagi, Kosei Takagi, Yuzo Umeda, Kazuhiro Yoshida, Toshiyoshi Fujiwara, Ryuichi Yoshida, Yuma Tani, Kazuya Yasui |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Forceps Case Report Dissection (medical) 03 medical and health sciences Laparoscopic 0302 clinical medicine medicine Left Hemihepatectomy Falciform ligament Vein Liver resection business.industry Hanging maneuver technology industry and agriculture food and beverages medicine.disease Surgery medicine.anatomical_structure 030220 oncology & carcinogenesis biological sciences Abdomen 030211 gastroenterology & hepatology Hepatectomy business Major hepatectomy |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2020.10.002 |
| Popis: | Highlights • The liver hanging maneuver is an essential technique in open hepatectomy. • Few studies have reported on use of hanging maneuver in laparoscopic hepatectomy. • We have developed a novel modified laparoscopic hanging maneuver technique. • This novel modified hanging maneuver is easy and reproducible to use. Introduction The liver hanging maneuver is an essential technique for controlling bleeding in hepatectomy, however it is often difficult in laparoscopic major hepatectomy. The present study describes a novel modified hanging maneuver in laparoscopic left hemihepatectomy. Presentation of case A 29-year-old female underwent laparoscopic left hemihepatectomy for mucinous cystic neoplasm. After mobilizing the left lobe, the liver parenchyma was dissected along the demarcation line. For the hanging technique, the upper edge of the hanging tape was placed on the lateral side of the left hepatic vein, and fixed with the Falciform ligament. The lower edge of the tape was extracted outside the abdomen. Accordingly the hanging tape can be controlled extraperitoneally during the liver parenchyma dissection. Discussion This technique includes several advantages including no need of assistance using forceps, easy control of the hanging tape extraperitoneally, outflow control, better exposure of surgical field, and helpful guide of the liver dissection line toward the root of the left hepatic vein. Conclusion Our novel modified hanging maneuver is easy and reproducible to use in laparoscopic left hemihepatectomy. Moreover, this technique can be applied to other laparoscopic hepatectomy. |
| Databáze: | OpenAIRE |
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