Updates and Critical Insights on Glissonian Approach in Liver Surgery
| Autor: | Timothy M. Pawlik, Diamantis I. Tsilimigras, Ioannis Ntanasis-Stathopoulos, Demetrios Moris, Evangelos Felekouras, Amir A. Rahnemai-Azar, Eleftherios Spartalis, Hugo Marques |
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| Rok vydání: | 2017 |
| Předmět: |
Liver surgery
medicine.medical_specialty Laparoscopic hepatectomy medicine.medical_treatment Blood Loss Surgical 030230 surgery Resection Laparoscopy/methods Liver Neoplasms/surgery 03 medical and health sciences 0302 clinical medicine Reperfusion Injury/prevention & control Medicine Hepatectomy Humans business.industry Liver Neoplasms Gastroenterology HCC CIR medicine.disease Surgery Safety profile Current practice 030220 oncology & carcinogenesis Reperfusion Injury Invasive surgery Laparoscopy Hepatectomy/methods business Liver cancer Blood Loss Surgical/prevention & control |
| Zdroj: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação instacron:RCAAP |
| ISSN: | 1873-4626 |
| Popis: | Recent advances in surgical techniques have broadened the indications of surgical management of liver malignancies. Intraoperative bleeding is one of the known predictors of postoperative outcomes following liver surgery, signifying the importance of vascular control during liver resection. Furthermore, preservation of future liver remnant plays a critical role in prevention of post-hepatectomy liver failure as one of the main causes of postoperative morbidity and mortality. Glissonian approach liver resection offers an effective method for vascular inflow control while protecting future liver remnant from ischemia-reperfusion injury. Several studies have demonstrated the feasibility of Glisson's pedicle resection technique in modern liver surgery with an acceptable safety profile. Moreover, with increasing popularity of minimally invasive surgery, laparoscopic liver resection via Glissonian approach has been shown to be superior to standard laparoscopic hepatectomy. Herein, we systematically review the role of Glissonian approach hepatectomy in current practice of liver surgery, highlighting its advantages and disadvantaged over other methods of vascular control. info:eu-repo/semantics/publishedVersion |
| Databáze: | OpenAIRE |
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