Unravelling the Complexity Myth for Minimally Invasive Right Hepatectomy: Liver Parenchymal Features and their Correlation to Objective Outcomes in Major Anatomical Resections

Author(s):  
Salila S. Hashmi ◽  
Mohammad R. Jajja ◽  
Syed O. Nadeem ◽  
Daniel W. Maxwell ◽  
Austin M. Eckhoff ◽  
...  

2020 ◽  
Author(s):  
Omid Salehi ◽  
Eduardo A. Vega ◽  
Claudius Conrad

Laparoscopic right hepatectomy (LRH) is an important technique in a modern hepatobiliary surgeon’s arsenal. It’s application extends to many different disease processes including both malignant and benign tumors as well as infections and in trauma. The procedure involves using minimally invasive methods to remove Couinaud segments 5-8 delineated by the portion of the liver right and lateral to Cantlie’s line. In this chapter, we explain the approach to performing this operation by delving into preoperative considerations with a focus on high quality imaging, 3D reconstruction, and virtual hepatectomy, optimizing the future liver remnant (FLR) with PVE and use of parenchymal sparing methods, and detailed intraoperative steps emphasizing caudal view, Glissonian approach, MHV roadmap, and communication with anesthesia. We also give context to LRH by discussing the two most common diseases addressed by it, namely colorectal liver metastases (CRLM) and hepatocellular carcinoma (HCC), as well as historical perspectives and how LRH use has evolved. We also address complication management such as post-operative liver failure and intra-operative bleeding accidents, variants on exposure with hand assist and transthoracic view, and comparing the advantages and disadvantages between open and laparoscopic right hepatectomy. This review contains 12 figures, 4 tables, and 111 references. Keywords: augmented reality, laparoscopic right hepatectomy, laparoscopic PVE and ALPPS, low CVP anesthesia, MHV roadmap, minimally invasive liver resection, parenchymal sparing right hepatectomy, Takasaki caudal approach, virtual hepatectomy,





2020 ◽  
Author(s):  
Omid Salehi ◽  
Eduardo A. Vega ◽  
Claudius Conrad

Laparoscopic right hepatectomy (LRH) is an important technique in a modern hepatobiliary surgeon’s arsenal. It’s application extends to many different disease processes including both malignant and benign tumors as well as infections and in trauma. The procedure involves using minimally invasive methods to remove Couinaud segments 5-8 delineated by the portion of the liver right and lateral to Cantlie’s line. In this chapter, we explain the approach to performing this operation by delving into preoperative considerations with a focus on high quality imaging, 3D reconstruction, and virtual hepatectomy, optimizing the future liver remnant (FLR) with PVE and use of parenchymal sparing methods, and detailed intraoperative steps emphasizing caudal view, Glissonian approach, MHV roadmap, and communication with anesthesia. We also give context to LRH by discussing the two most common diseases addressed by it, namely colorectal liver metastases (CRLM) and hepatocellular carcinoma (HCC), as well as historical perspectives and how LRH use has evolved. We also address complication management such as post-operative liver failure and intra-operative bleeding accidents, variants on exposure with hand assist and transthoracic view, and comparing the advantages and disadvantages between open and laparoscopic right hepatectomy. This review contains 12 figures, 4 tables, and 111 references. Keywords: augmented reality, laparoscopic right hepatectomy, laparoscopic PVE and ALPPS, low CVP anesthesia, MHV roadmap, minimally invasive liver resection, parenchymal sparing right hepatectomy, Takasaki caudal approach, virtual hepatectomy,



HPB ◽  
2019 ◽  
Vol 21 (5) ◽  
pp. 566-573
Author(s):  
Mohammad R. Jajja ◽  
Daniel Maxwell ◽  
Salila S. Hashmi ◽  
Rebecca S. Meltzer ◽  
Edward Lin ◽  
...  




2017 ◽  
Vol 23 (6) ◽  
pp. 857-858 ◽  
Author(s):  
Paolo Magistri ◽  
Giuseppe Tarantino ◽  
Roberto Ballarin ◽  
Andrea Coratti ◽  
Fabrizio Di Benedetto


Videoscopy ◽  
2019 ◽  
Vol 29 (4) ◽  
Author(s):  
Robert Sucher ◽  
Hans Michael Hau ◽  
Sebastian Rademacher ◽  
Andri Lederer ◽  
Tim Ole Petersen ◽  
...  


2016 ◽  
Vol 22 (11) ◽  
pp. 1509-1518 ◽  
Author(s):  
Po-Da Chen ◽  
Chao-Ying Wu ◽  
Rey-Heng Hu ◽  
Cheng-Maw Ho ◽  
Po-Huang Lee ◽  
...  


HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S421
Author(s):  
D.G.W. Lim ◽  
J.K.H. Tan ◽  
J.H. Law ◽  
N.C.H. Tan ◽  
N.Q. Pang ◽  
...  


Chirurgia ◽  
2021 ◽  
Vol 116 (Ahead of print) ◽  
pp. invasive
Author(s):  
Francesca Ratti ◽  
Federica Cipriani ◽  
Yongha Lee ◽  
Rebecca Marino ◽  
Marco Catena ◽  
...  


Sign in / Sign up

Export Citation Format

Share Document