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Robot-assisted Living-donor Left Lateral sectionectomy

Chinese Medical Journal 2017年第7期130卷 874-876页

作者： Ming-Heng Liao Jia-Yin Yang Hong Wu Yong Zeng Department of Liver Surgery Liver Transplantation Division West China Hospital Sichuan University Chengdu Sichuan 610041 China

INTRODUCTION In 2002, Cherqui et al. reported the first purely laparoscopic living-donor left lateral sectionectomy （LDLLS）Yl This technique has now become a standardized procedure and has significantly shortened donor *** The da Vinci robotic surgical system was introduced into the field of liver surgery more than 10 years ago. Its flexible mechanical ＂wrist＂ and stable three-dimensional （3D） visual field help minimize risks from complicated procedures.

关键词： Laparoscopic Surgery Liver Transplantation Living Donor Robotic Surgery sectionectomy

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Caudal approach to pure laparoscopic posterior sectionectomy under the laparoscopy-specific view

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World Journal of Gastrointestinal Surgery 2013年第6期5卷 173-177页

作者： Hirokazu Tomishige Zenichi Morise Norihiko Kawabe Hidetoshi Nagata Hisanori Ohshima Jin Kawase Satoshi Arakawa Rie Yoshida Masashi Isetani Department of Surgery Fujita Health University School of MedicineBanbuntane Houtokukai HospitalNagoya Aichi 454-8509Japan

AIM:To study our novel caudal approach laparoscopic posterior-sectionectomy with parenchymal transection prior to mobilization under laparoscopy-specific ***:Points of the procedure are:(1) Patients are put in left lateral position and posterior sector is not mobilized;(2) Glissonian pedicle of the sector is encircled and clamped extra-hepatically and divided afterward during the transection;(3) Dissection of inferior vena cava(IVC) anterior wall behind the liver is started from ***,liver transection is performed to search right hepatic vein(RHV) from caudal;(4) Liver transection proceeds to the bifurcation of the vessels from caudal to cranial,exposing the surfaces of IVC and *** the remnant liver sinks down,the cutting surface is well-opend;and(5) After the completion of transection,dissection of the resected liver from retroperitoneum is easily performed using the *** approach was performed for a 63 years old woman with liver metastasis close to ***:RHV exposure is required for R0 resection of the *** the cutting plane is horizontal in supine position and the gravity obstructs the exposure in the small subphrenic space,the use of specific characteristics of laparoscopic hepatectomy,such as the good vision for the dorsal part of the liver and IVC and facilitated dissection using the gravity with the patient positioning,made the complete RHV exposure during the liver transection easy to *** operation time was 341 min and operative blood loss was 1356 *** postoperative hospital stay was uneventfull and she is well without any signs of recurrences 14 mo after ***:The new procedure is feasible and useful for the patients with tumors close to RHV and the need of the exposure of RHV.

关键词： Laparoscopic hepatectomy Posterior sectionectomy Caudal approach Right hepatic vein Mobilization of the liver Left lateral position

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