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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2019, Vol. 13 ›› Issue (03): 239-239. doi: 10.3877/cma.j.issn.1674-3946.2019.03.007

Special Issue:

• Operation Theater • Previous Articles     Next Articles

The single-port laparoscopic hepatectomy of segment VII through right perirenal space

Yesheng Chen1, Zhiwei Sun1,(), Jianzhong Tang1, Chuncheng Meng1, Xinjun Zhang1, Xingyu Li1   

  1. 1. Department of Hepatopancreatobiliary Surgery, the First People’s Hospital of Yunnan Province, the Affiliated Hospital of Kunming University of Science and Technology, Yunnan 650032, China
  • Online:2019-06-26 Published:2019-06-26
  • Contact: Zhiwei Sun
  • About author:
    Corresponding author: Sun Zhiwei, Email:
  • Supported by:
    ProjectofYunnan MedicineLeading Talents Foundation(L-2017016); Project of Special Foundation of Yunnan Applied Fundamental Research(2017FE468 (-245))

Abstract:

Preoperative diagnosis was right hepatic hemangioma. During the operation, a 4 cm incision was made at the middle line of the right axilla and 2 cm above the iliac crest to expand the right posterior peritoneal space. The 10 cm and 12 cm Trocar and grabbing forceps were placed respectively. The lateral renal fascia was opened, the right perirenal space was opened, the anterior renal fat was separated, the right adrenal gland was exposed, and the anterior and lateral peritoneum was explored. The anterior and posterior peritoneum of the right kidney was directly accessible through the anterior and posterior layers of the renal fascia. It reaches the bare area of liver. Exploration of the liver showed that the hemangioma was located in the seventh segment of the liver, red, soft and clear. Segment VII of the liver was completely resected and hemostasis was achieved. Samples were bagged and removed. The operation lasted 3.4 hours and bleeding was about 600 ml. Postoperative pathological findings were right hepatic cavernous hemangioma.

Key words: Laparoscopy, Hepatectomy, Interrenal gland

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