Principles for the determination of surgical plane in laparoscopic anatomic hepatectomy

doi:10.3877/cma.j.issn.1674-3946.2019.03.002

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (03): 220-223. doi: 10.3877/cma.j.issn.1674-3946.2019.03.002

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Principles for the determination of surgical plane in laparoscopic anatomic hepatectomy

Jingfeng Liu¹^,^†(), Yao Huang¹, Yongyi Zeng¹, Jinhua Zeng¹, Kecan Lin¹, Shunfeng Luo¹

^1. Mengchao Hepatobiliary Hospital, Fujian Medical University, Fujian 350000, China; Liver Disease Center, The First Affiliated Hospital of Fujian Medical University, Fujian 350005, China

Received:2018-11-30 Online:2019-06-26 Published:2019-06-26
Contact: Jingfeng Liu
About author:
Corresponding author: Liu Jingfeng, Email: drjingfeng@126.com
Supported by:
National Natural Science Foundation of China(No. 81871483); Science and Technology Program of Fujian Province(No. 2019Y3001); Struction Program of Liver Disease Center of Fujian Province(No. 2017-171)

Abstract

Abstract:

Accurate determination of the surgical plane is a technical difficulty in laparoscopic anatomic hepatectomy. Compared with open surgery, laparoscopic hepatectomy has its own particularity in determining the surgical plane of anatomical hepatectomy due to the lack of sense of touch and the limited operating space. In this paper, some common methods for determining the surgical plane of laparoscopic anatomical hepatectomy were summarized. The mainly methods include: (1)according to the anatomical landmarks on the surface of the liver; (2)guided by the hepatic vein; (3) the selective portal pedicle clamping of the target liver segment; (4) target liver segment portal vein puncture staining. Each of these methods has advantages and disadvantages, and is suitable for different hepatic segment resections. In clinical practice, it should be applied comprehensively under actual situation.

Key words: Laparoscopes, Anatomical hepatectomy, Surgical plane

Jingfeng Liu, Yao Huang, Yongyi Zeng, Jinhua Zeng, Kecan Lin, Shunfeng Luo. Principles for the determination of surgical plane in laparoscopic anatomic hepatectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2019, 13(03): 220-223.

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