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Laparoscopic Right Hepatectomy with Selective Vascular Exclusion

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Journal of Gastrointestinal Surgery

Abstract

Introduction

Laparoscopic right hepatectomy remains a challenge for liver surgeons. This video illustrates, step by step, a standardized technique for laparoscopic right hepatectomy with selective vascular exclusion.

Methods

The main steps of this totally laparoscopic technique are: extraparenchymal control of vascular inflow, extraparenchymal division of the right hepatic duct, complete mobilization of the right liver, control and division of the right hepatic vein, and parenchymal transection.

Results

The duration of surgery was 280 min, and the blood loss was 100 ml. The postoperative period was uneventful, and the length of stay was 7 days.

Conclusion

This technique has been proven to be safe and easily reproducible in hands of surgeons with expertise in both liver and laparoscopic surgery.

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References

  1. Dagher I, Caillard C, Proske JM, Carloni A, Lainas P, Franco D. Laparoscopic right hepatectomy: original technique and results. J Am Coll Surg 2008;206:756–60.

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Authors and Affiliations

  1. Department of Surgery, Antoine Béclère Hospital, 157 rue de la Porte de Trivaux, 92141, Clamart cedex, France

    Ibrahim Dagher, Giuseppe Di Giuro, Panagiotis Lainas & Dominique Franco

  2. Univ Paris-Sud, Orsay, 91405, France

    Ibrahim Dagher & Dominique Franco

Authors
  1. Ibrahim Dagher
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  2. Giuseppe Di Giuro
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  3. Panagiotis Lainas
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  4. Dominique Franco
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Corresponding author

Correspondence to Ibrahim Dagher.

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Dagher, I., Di Giuro, G., Lainas, P. et al. Laparoscopic Right Hepatectomy with Selective Vascular Exclusion. J Gastrointest Surg 13, 148–149 (2009). https://doi.org/10.1007/s11605-008-0602-z

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  • DOI: https://doi.org/10.1007/s11605-008-0602-z

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