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Safe and feasible extrahepatic Glissonean access in laparoscopic anatomical liver resection.

机译:在腹腔镜解剖肝脏切除术中安全可行的肝外Glissonean通路。

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BACKGROUND: Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic liver resection, laparoscopic anatomical liver resection still presents major technical difficulties, such as pedicle control. METHODS: Subjects comprised 27 patients who underwent laparoscopic anatomical liver resection using an extrahepatic Glissonean pedicle transaction between August 2005 and February 2010. RESULTS: A total of 61 Glissonean pedicles could be encircled en bloc extrahepatically, as planned. No serious complications, including major bleeding or injury of the portal triad, were encountered during procedures. CONCLUSIONS: Extrahepatic Glissonean access seems to be feasible and safe for laparoscopic anatomical resection of the liver.
机译:背景:尽管最近的技术发展和改进的内窥镜检查程序进一步扩大了腹腔镜肝脏切除术的应用范围,但腹腔镜解剖肝脏切除术仍存在主要的技术难题,例如椎弓根的控制。方法:受试者包括27例在2005年8月至2010年2月之间使用肝外Glissonean蒂进行腹腔镜解剖肝脏切除术的患者。结果:按计划,总共61例Glissonean蒂可在肝外被全圈包围。在手术过程中没有遇到严重的并发症,包括大出血或门三联征的受伤。结论:对于腹腔镜肝脏解剖切除术,肝外Glissonean通路似乎是可行和安全的。

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