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首页> 外文期刊>Surgical Endoscopy >Pure laparoscopic living donor hepatectomy using the Glissonean pedicle approach (with video)
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Pure laparoscopic living donor hepatectomy using the Glissonean pedicle approach (with video)

机译：使用Glissonean Peetice方法（带视频）的纯腹腔镜活体供体肝切除术

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BackgroundThe use of pure laparoscopic donor hepatectomy has been increasing, with various advantages reported. However, the Glissonean approach has not been adopted despite its usefulness. The aim of this study was to introduce the Glissonean pedicle approach for laparoscopic living donor hepatectomy.MethodsWe retrospectively reviewed data from 11 patients who underwent pure laparoscopic donor hepatectomy for adult living donor liver transplantation. In this novel operative procedure, after mobilization of the liver, the right or left Glissonean pedicle was encircled, and then the liver parenchymal transection was completed. Next, the right or left hepatic artery, portal vein, and hepatic duct were dissected out. The right or left hepatic duct was divided under intraoperative cholangiography guidance using indocyanine green fluorescence, and the hepatic artery and the portal vein were cut. Finally, the hepatic vein was divided using the laparoscopic stapler, and the graft liver was procured via a suprapubic incision.ResultsThe overall median surgical time was 387min (range 280-563min), and the volume of blood loss was 75mL (21-1228mL). The warm ischemic time was 5min (2-10min). A conversion to open procedure was occurred in 1 patient. A complication, a grade IIIa bile leakage according to the Clavien-Dindo classification, was noted in 1 patient.ConclusionThis is the first report of the Glissonean pedicle approach for pure laparoscopic donor hepatectomy; our results demonstrate the safety and feasibility of this technique.
机译：背景技术纯腹腔镜供体肝切除术一直在增加，报告了各种优势。但是，尽管有其有用，但尚未采用无耻的方法。本研究的目的是介绍腹腔镜活体供体肝切除术的无光结构椎弓根方法。近奇地区回顾性地回顾了11名接受纯腹腔镜供体肝切除术的患者的数据，用于成人活体肝移植术。在这种新的手术过程中，在动员肝脏后，右侧或左唇椎弓根环绕，然后完成肝实质趋势。接下来，解剖右侧或左肝动脉，门静脉和肝脏管道。使用吲哚菁绿色荧光和切割肝动脉和门静脉的术中胆管造影引导术后右肝脏管道分开。最后，使用腹腔镜订书机分开肝静脉，通过耻骨上切口采购移植肝脏。结果中位外科手术时间为387min（280-563min），失血量为75ml（21-1228ml） 。温暖的缺血时间是5分钟（2-10min）。在1名患者中发生了对开放程序的转换。一份并发症，根据克拉维恩-DINDO分类，在1例患者中指出了IIIA级胆汁泄漏.Conclusionthis是纯腹腔镜供体肝切除术的Glissonean椎弓根方法的第一个报告;我们的结果表明了这种技术的安全性和可行性。

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