کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3987638 1601453 2009 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Trisectionectomy for large hepatocellular carcinoma using the liver hanging maneuver
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی تومور شناسی
پیش نمایش صفحه اول مقاله
Trisectionectomy for large hepatocellular carcinoma using the liver hanging maneuver
چکیده انگلیسی

Background/PurposeLarge liver tumors often expand and severely compress intrahepatic vessels. In cases of the trisectionectomy for such tumors, however, it is difficult to adequately expose the transection planes. The liver hanging maneuver (LHM) is a useful technique for hemihepatectomy and an adequate transection plane might be also required in trisectionectomy.MethodsLHM procedure is basically followed by the Belghiti's method. A nasogastric tube was used for hanging. At the hepatic hilum, the tube was placed between the liver and Glisson's pedicle.ResultsWe report here the application of LHM for right and left trisectionectomy in patients with a large hepatoma in two cases. In case of a right trisectionectomy for a large tumor compressing the umbilical Glisson's pedicle, an adequate transection plane was obtained using the LHM because the resected and remnant livers rotated to the other side upon lifting the tube during transection. In case of a left trisectionectomy for a large hepatic tumor compressing the right hepatic vein, an adequate transection plane along the right hepatic vein was obtained using LHM as well.ConclusionsLHM is a useful surgical application for right and left trisectionectomy in patients with large liver tumors compressing the cut plane.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: European Journal of Surgical Oncology (EJSO) - Volume 35, Issue 3, March 2009, Pages 326–330
نویسندگان
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