Extended left hepatectomy: Technical aspects of an evolving procedure

Author:

Blumgart L H1,Baer H U2,Czerniak A2,Zimmermann A3,Dennison A R2

Affiliation:

1. Department of Surgery, Memorial Sloan–Kettering Cancer Center, New York, USA

2. Department of Visceral and Transplantation Surgery, Switzerland

3. Department of Pathology, University of Berne, Berne, Switzerland

Abstract

Abstract Lessons learned in an operative experience of 14 patients submitted to extended left hepatectomy for the management of liver tumours are presented. There were no deaths within 30 days of operation. Essential preoperative studies, indications and technical details of the operation are described. The importance of the morphology of the tumour and the influence of the tumour on the technique to be adopted are emphasized. Modifications of technique that allow selection of patients for the procedure, control of venous bleeding, accurate identification of the sectoral portal pedicles within the right liver and definition of the plane of parenchymal transection are addressed.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference21 articles.

1. The surgical anatomy pertaining to liver resection;Goldsmith;Surg Gynecol Obstet,1957

2. Left hepatic trisegmentectomy;Starzl;Surg Gynecol Obstet,1982

3. Poor prognoses following left hepatic trisegmentectomies for cancer;Hasegawa;Jpn J Clin Oncol,1989

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