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BIBTEX RIS

Intrahepatic Glissonian approach for pedicle control during anatomic mesohepatectomy

2006; Elsevier BV; Volume: 141; Issue: 4 Linguagem: Inglês

10.1016/j.surg.2006.07.023

1532-7361

Marcel Autran C. Machado, Paulo Herman, Marcel Cerqueira César Machado,

Liver physiology and pathology

Centrally located liver tumors can be removed by either right or left trisectionectomies. These procedures are technically demanding and remove 60% to 85% of the liver parenchyma, much of which may not be involved with the neoplasm, and are often associated with severe complications, including hepatic failure. 1 Scudamore C.H. Buczkowski A.K. Shayan H. Ho S.G. Legiehn G.M. Chung S.W. et al. Mesohepatectomy. Am J Surg. 2000; 179: 356-360 Abstract Full Text Full Text PDF PubMed Scopus (70) Google Scholar To reduce the risk of liver failure after extended liver resection, it is possible to perform preoperative portal embolization to obtain hypertrophy of the future remnant liver. 2 Hemming A.W. Reed A.I. Howard R.J. Fujita S. Hochwald S.N. Caridi J.G. et al. Preoperative portal vein embolization for extended hepatectomy. Ann Surg. 2003; 237: 686-691 PubMed Google Scholar , 3 Belghiti J. Arguments for a selective approach of preoperative portal vein embolization before major hepatic resection. J Hepatobiliary Pancreat Surg. 2004; 11: 21-24 Crossref PubMed Scopus (27) Google Scholar Another option is to minimize the volume of normal liver resected by removing only the central hepatic segments (Couinaud’s segments 4, 5, and 8). 4 Couinaud C. Le foie: études anatomiques et chirurgicales. Masson Publishers, New York1957 Google Scholar This technique, called central hepatic resection or mesohepatectomy, was first described in 1972 by McBride and Wallace. 5 McBride C.M. Wallace S. Cancer of the right lobe of the liver: a variety of operative procedures. Arch Surg. 1972; 105: 289-296 Crossref PubMed Scopus (73) Google Scholar Mesohepatectomy, however, has not gained the popularity of extended hepatectomy probably due to the complexity of the procedure.