Clinical application value of laparoscopic anatomical resection of liver segment 8 <i>via</i> a hepatic parenchymal transection-first approach guided by the middle hepatic vein_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

YOU Nan , LI Jing , WU Ke , WANG Zheng , LIU Qinqin , WANG Liang , ZHU Yinan ,  ZHENG Lu

Department of Hepatobiliary Surgery, Xinqiao Hospital, Army Medical University, Chongqing 400037, P. R. China;

Corresponding author：

ZHENG Lu, Email: xqyyzl1@163.com

Keywords：

liver cancer; middle hepatic vein; hepatic parenchymal transection-first approach; laparoscopic anatomical hepatectomy; liver segment 8

DOI：

10.7507/1007-9424.202012036

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the clinical application value of laparoscopic anatomical resection of liver segment 8 via a hepatic parenchymal transection-first approach guided by the middle hepatic vein.Methods Clinical data of 8 patients who underwent laparoscopic anatomical resection of liver segment 8 via a hepatic parenchymal transection-first approach guided by the middle hepatic vein in Xinqiao Hospital from May 2017 to December 2019 were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative complications, and hospitalization duration were observed.Results All patients were confirmed by pathology, the postoperative pathological results showed that: hepatocellular carcinoma was found in 6 patients, mixed hepatocellular carcinoma and cholangiocarcinoma was found in 2 patients. All patients completed the operation successfully without conversion to open surgery. The median operation time was 220 min (190-240 min), median blood loss was 230 mL (200-280 mL), and blood transfusion was not needed. The postoperative median hospital stay was 8 d (7–12 d). All the patients recovered well without severe complications. Eight patients were followed up for 10.5 to 31.7 months, with a median follow-up time of 16.9 months. During the follow-up period, none of them developed hemorrhage, bile leakage, and other complications. There was no reoperation or perioperative mortality during the follow-up.Conclusions The method of laparoscopic anatomical resection of liver segment 8 via a hepatic parenchymal transection-first approach guided by the middle hepatic vein is safe and effective. This method can shorten the operation time, improve the safety, and reduce the difficulty of operation.

Citation： YOU Nan, LI Jing, WU Ke, WANG Zheng, LIU Qinqin, WANG Liang, ZHU Yinan, ZHENG Lu. Clinical application value of laparoscopic anatomical resection of liver segment 8 via a hepatic parenchymal transection-first approach guided by the middle hepatic vein. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(2): 146-150. doi: 10.7507/1007-9424.202012036 Copy

1.	Azagra JS, Goergen M, Gilbart E, et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects. Surg Endosc, 1996, 10(7): 758-761.
2.	Kaneko H, Takagi S, Shiba T. Laparoscopic partial hepatectomy and left lateral segmentectomy: technique and results of a clinical series. Surgery, 1996, 120(3): 468-475.
3.	Berardi G, Wakabayashi G, Igarashi K, et al. Full laparoscopic anatomical segment 8 resection for hepatocellular carcinoma using the glissonian approach with indocyanine green dye fluorescence. Ann Surg Oncol, 2019, 26(8): 2577-2578.
4.	Ban D, Tanabe M, Ito H, et al. A novel difficulty scoring system for laparoscopic liver resection. J Hepatobiliary Pancreat Sci, 2014, 21(10): 745-753.
5.	Xiang C, Liu Z, Dong J, et al. Precise anatomical resection of the ventral part of Segment Ⅷ. Int J Surg Case Rep, 2014, 5(12): 924-926.
6.	Kim JH. Pure laparoscopic anatomical resection of the segment 8 dorsal area using the transparenchymal Glissonean approach (Video). Surg Oncol, 2019, 31: 99-100.
7.	陈继业, 蔡守旺. 解剖性肝 S8 段切除手术策略. 临床外科杂志, 2019, 27(8): 649-651.
8.	王小军, 曹利, 李建伟, 等. 腹腔镜解剖性肝脏Ⅷ段切除术. 中华肝胆外科杂志, 2019, 25(2): 135-136.
9.	王晓颖, 高强, 朱晓东, 等. 吲哚菁绿荧光引导腹腔镜解剖性Ⅷ段切除流程. 中华肝胆外科杂志, 2019, 25(5): 384-385.
10.	刘苏来, 彭创. 腹腔镜下解剖性肝Ⅷ段切除的可行性和策略. 肝胆胰外科杂志, 2020, 32(9): 513-515.
11.	Ni ZK, Lin D, Wang ZQ, et al. Precision liver resection: three-dimensional reconstruction combined with fluorescence laparoscopic imaging. Surg Innov, 2020: 1553350620954581.
12.	中华医学会数字医学分会, 中国研究型医院学会数字智能化外科专业委员会, 中国医师协会肝癌专业委员会. 中央型肝癌三维可视化精准诊疗中国专家共识 (2020 版). 中国实用外科杂志, 2020, 40(4): 361-368.
13.	Xu Y, Chen M, Meng X, et al. Laparoscopic anatomical liver resection guided by real-time indocyanine green fluorescence imaging: experience and lessons learned from the initial series in a single center. Surg Endosc, 2020, 34(10): 4683-4691.
14.	中国肝胆外科术中超声学院. 腹腔镜超声在肝脏外科的应用专家共识 (2017). 临床肝胆病杂志, 2018, 34(3): 486-493.
15.	高峰畏, 吴泓, 赵欣, 等. 腹腔镜肝切除术中肝静脉出血的原因分析及防治原则. 中国普外基础与临床杂志, 2020, 27(6): 675-678.
16.	郑树国. 腹腔镜肝切除术肝静脉系统出血处理策略. 中国实用外科杂志, 2017, 37(5): 485-489.
17.	蒋利, 吴泓. 腹腔镜肝切除术的现状与展望. 中国普外基础与临床杂志, 2020, 27(6): 657-661.
18.	Zhang W, Wang J, Li C, et al. Infrahepatic inferior vena cava clamping with Pringle maneuvers for laparoscopic extracapsular enucleation of giant liver hemangiomas. Surg Endosc, 2017, 31(9): 3628-3636.
19.	陈旭东, 王宏光. 应用荧光腹腔镜术中超声引导吲哚菁绿反染肝脏 8 段腹侧段切除术. 中华外科杂志, 2019, 57(2): 113.

1. Azagra JS, Goergen M, Gilbart E, et al. Laparoscopic anatomical (hepatic) left lateral segmentectomy-technical aspects. Surg Endosc, 1996, 10(7): 758-761.
2. Kaneko H, Takagi S, Shiba T. Laparoscopic partial hepatectomy and left lateral segmentectomy: technique and results of a clinical series. Surgery, 1996, 120(3): 468-475.
3. Berardi G, Wakabayashi G, Igarashi K, et al. Full laparoscopic anatomical segment 8 resection for hepatocellular carcinoma using the glissonian approach with indocyanine green dye fluorescence. Ann Surg Oncol, 2019, 26(8): 2577-2578.
4. Ban D, Tanabe M, Ito H, et al. A novel difficulty scoring system for laparoscopic liver resection. J Hepatobiliary Pancreat Sci, 2014, 21(10): 745-753.
5. Xiang C, Liu Z, Dong J, et al. Precise anatomical resection of the ventral part of Segment Ⅷ. Int J Surg Case Rep, 2014, 5(12): 924-926.
6. Kim JH. Pure laparoscopic anatomical resection of the segment 8 dorsal area using the transparenchymal Glissonean approach (Video). Surg Oncol, 2019, 31: 99-100.
7. 陈继业, 蔡守旺. 解剖性肝 S8 段切除手术策略. 临床外科杂志, 2019, 27(8): 649-651.
8. 王小军, 曹利, 李建伟, 等. 腹腔镜解剖性肝脏Ⅷ段切除术. 中华肝胆外科杂志, 2019, 25(2): 135-136.
9. 王晓颖, 高强, 朱晓东, 等. 吲哚菁绿荧光引导腹腔镜解剖性Ⅷ段切除流程. 中华肝胆外科杂志, 2019, 25(5): 384-385.
10. 刘苏来, 彭创. 腹腔镜下解剖性肝Ⅷ段切除的可行性和策略. 肝胆胰外科杂志, 2020, 32(9): 513-515.
11. Ni ZK, Lin D, Wang ZQ, et al. Precision liver resection: three-dimensional reconstruction combined with fluorescence laparoscopic imaging. Surg Innov, 2020: 1553350620954581.
12. 中华医学会数字医学分会, 中国研究型医院学会数字智能化外科专业委员会, 中国医师协会肝癌专业委员会. 中央型肝癌三维可视化精准诊疗中国专家共识 (2020 版). 中国实用外科杂志, 2020, 40(4): 361-368.
13. Xu Y, Chen M, Meng X, et al. Laparoscopic anatomical liver resection guided by real-time indocyanine green fluorescence imaging: experience and lessons learned from the initial series in a single center. Surg Endosc, 2020, 34(10): 4683-4691.
14. 中国肝胆外科术中超声学院. 腹腔镜超声在肝脏外科的应用专家共识 (2017). 临床肝胆病杂志, 2018, 34(3): 486-493.
15. 高峰畏, 吴泓, 赵欣, 等. 腹腔镜肝切除术中肝静脉出血的原因分析及防治原则. 中国普外基础与临床杂志, 2020, 27(6): 675-678.
16. 郑树国. 腹腔镜肝切除术肝静脉系统出血处理策略. 中国实用外科杂志, 2017, 37(5): 485-489.
17. 蒋利, 吴泓. 腹腔镜肝切除术的现状与展望. 中国普外基础与临床杂志, 2020, 27(6): 657-661.
18. Zhang W, Wang J, Li C, et al. Infrahepatic inferior vena cava clamping with Pringle maneuvers for laparoscopic extracapsular enucleation of giant liver hemangiomas. Surg Endosc, 2017, 31(9): 3628-3636.
19. 陈旭东, 王宏光. 应用荧光腹腔镜术中超声引导吲哚菁绿反染肝脏 8 段腹侧段切除术. 中华外科杂志, 2019, 57(2): 113.

Previous Article
Some thoughts on immunotherapy for esophageal squamous cell carcinoma
Next Article
Some thoughts on immunotherapy for esophageal squamous cell carcinoma

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical application value of laparoscopic anatomical resection of liver segment 8 via a hepatic parenchymal transection-first approach guided by the middle hepatic vein

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content