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Laparoscopic bisegmentectomy 6 and 7 using a Glissonian approach and a half-Pringle maneuver

机译:腹腔镜二段切除术6和7,采用格里森方法和半Pringle动作

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Abstract Background Despite accumulated experience and advancing techniques for laparoscopic hepatectomy, surgeons still face challenging resections that require specific and innovative intraoperative maneuvers [1-3]. The right posterior sectionectomy presents special concerns about its location, the extensive transection area, and the difficult access to the pedicle [4, 5]. The intrahepatic Glissonian approach allows safe en masse control of the portal structures without prolonged dissection [2]. Its association with the half-Pringle maneuver results in less bleeding during parenchymal transection [1, 61.
机译:摘要背景尽管有丰富的腹腔镜肝切除术经验和先进的技术,但外科医生仍然面临具有挑战性的切除术,需要进行特殊且创新的术中操作[1-3]。右后切面切除术特别关注其位置,广泛的横切面区域以及难以进入椎弓根的情况[4,5]。肝内Glissonian方法可以安全地大规模控制门脉结构,而无需延长解剖时间[2]。它与半Pringle动作相关,可减少实质性横切过程中的出血[1,61。

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