Advertisement

Types of Segment-Oriented Hepatic Resection by the Glissonean Pedicle Approach

  • Jixiong Hu
  • Weidong Dai
  • Zhongkun Zuo
  • Chun Liu
Chapter

Abstract

Among liver resections, right hepatectomy (RH) was defined as a major hepatectomy [1]. According to the Brisbane classification, a right hepatectomy was described as resection of the Couinaud’s segments V–VIII (± segment I) [2]. Patients who required ligation of the middle hepatic vein were included only if the hepatic parenchymal transection plane containing this vein and segment IV was preserved. The volume of the right hemiliver was about 60–65% of the whole liver [3, 4]. In terms of liver function evaluation, Makuuchi criteria [5], including preoperative serum total bilirubin level, Child-Pugh classification, and the indocyanine green retention rate at 15 min (ICGR15) were used to determine the extent of safe liver resection. Right hepatectomy was indicated only for patients with Child-Pugh class A, serum total bilirubin level less than 1.0 mg/dl, and the ICGR15 less than 10%. For huge tumor confined to the right hemiliver, if the volume of the functional liver parenchymal within the right liver to be sacrificed is small, and/or the volume of the left liver is increased because of the contralateral portal vein tumor embolism, right hepatectomy can be performed even if the ICGR15 is more than 10% [3]. The patients with Child-Pugh class B and C liver function, hyperbilirubinemia, encephalopathy, hypoalbuminemia, and ascites were excluded from this procedure.

References

  1. 1.
    Celinski SA, Gamblin TC. Hepatic resection nomenclature and techniques. Surg Clin North Am. 2010;90(4):737–48.PubMedCrossRefGoogle Scholar
  2. 2.
    Terminology Committee of the IHPBA. The Brisbane terminology of the liver anatomy and resection. HPB. 2000;2:333–9.CrossRefGoogle Scholar
  3. 3.
    Makuuchi M. Chapter 1. Right hepatectomy. In: Makuuchi M, editor. Makuuchi Kanzou Gekagaku (in Japanese)/(translated to Chinese by Yong Zeng). Beijing: People’s Medical Publishing House; 2016. p. 98.Google Scholar
  4. 4.
    Mise Y, Satou S, Shindoh J, Conrad C, Aoki T, Hasegawa K, Sugawara Y, Kokudo N. Three-dimensional volumetry in 107 normal livers reveals clinically relevant inter-segment variation in size. HPB. 2013;16(5):439.PubMedPubMedCentralCrossRefGoogle Scholar
  5. 5.
    Makuuchi M, Kosuge T, Takayama T, Yamazaki S, Kakazu T, Miyagawa S, Kawasaki S. Surgery for small liver cancers. Semin Surg Oncol. 1993;9(4):298–304.PubMedPubMedCentralCrossRefGoogle Scholar
  6. 6.
    Couinaud C. Surgical anatomy of the liver revisited. Paris: C. Couinaud; 1989.Google Scholar
  7. 7.
    Honjo I, Araki C. Total resection of the right lobe of the liver. J Int Coll Surg. 1955;23(1):23–8.PubMedGoogle Scholar
  8. 8.
    Lortat-Jacob JL, Robert HG. Hepatectomie droite reglee. Presse Med. 1952;60:549–51.Google Scholar
  9. 9.
    Lin TY, Chem KM, Liu TK. Total right hepatic lobectomy for primary hepatoma. Surgery. 1960;48(6):1048–60.PubMedGoogle Scholar
  10. 10.
    Tung TT, Quang ND. Segmentary hepatectomy by transparenchymatous vascular ligation. Presse Med. 1965;73(52):3015–7.Google Scholar
  11. 11.
    Takasaki K, Kobayashi S, Tanaka S, Saito A, Yamamoto M, Hanyu F. Highly anatomically systematized hepatic resection with Glissonean sheath code transection at the hepatic hilus. Int Surg. 1990;75(2):73–7.Google Scholar
  12. 12.
    Takasaki K. Glissonean pedicle transection method for hepatic resection: a new concept of liver segmentation. J Hepato-Biliary-Pancreat Surg. 1998;5(3):286–91.CrossRefGoogle Scholar
  13. 13.
    Launois B, Sutherland FR, Harissis HA. A new technique of Hepp–Couinaud hepaticojejunostomy using the posterior approach to the hepatic hilum. J Am Coll Surg. 1999;188(1):59–62.PubMedGoogle Scholar
  14. 14.
    Machado MA, Herman P, Machado MC. A standardized technique for right segmental liver resections. Arch Surg. 2003;138(8):918–20.PubMedCrossRefGoogle Scholar
  15. 15.
    Yamamoto M, Katagiri S, Ariizumi S, Kotera Y, Takahashi Y. Glissonean pedicle transection method for liver surgery (with video). J Hepatobiliary Pancreat Sci. 2012;19(1):3–8.CrossRefGoogle Scholar
  16. 16.
    Yamamoto M, Katagiri S, Ariizumi S, Kotera Y, Takahashi Y, Egawa H. Tips for anatomical hepatectomy for hepatocellular carcinoma by the Glissonean pedicle approach (with videos). J Hepatobiliary Pancreat Sci. 2014;21(8):E53–6.CrossRefGoogle Scholar
  17. 17.
    Figueras J, Llado L, Ruiz D, Ramos E, Busquets J, Rafecas A, Torras J, Fabregat J. Complete versus selective portal triad clamping for minor liver resections: a prospective randomized trial. Ann Surg. 2005;241(4):582–90.PubMedPubMedCentralCrossRefGoogle Scholar
  18. 18.
    Figueras J, Lopez-Ben S, Llado L, Rafecas A, Torras J, Ramos E, Fabregat J, Jaurrieta E. Hilar dissection versus the ‘Glissonean’ approach and stapling of the pedicle for major hepatectomies: a prospective, randomized trial. Ann Surg. 2003;238(1):111–9.PubMedPubMedCentralGoogle Scholar
  19. 19.
    Giordano M, Lopez-Ben S, Codina-Barreras A, Pardina B, Falgueras L, Torres-Bahi S, Albiol M, Castro E, Figueras J. Extra-Glissonian approach in liver resection. Hepatol Pancreatol Biliary Surg. 2010;12(2):94–100.Google Scholar
  20. 20.
    Machado MA, Herman P, Figueira ER, Bacchella T, Machado MC. Intrahepatic Glissonian access for segmental liver resection in cirrhotic patients. Am J Surg. 2006;192(3):388–92.PubMedCrossRefGoogle Scholar
  21. 21.
    Regimbeau JM, Mauvais F. Liver resection; the approach via Glisson’s capsule. J Chir (Paris). 2008;145(4):355–62.CrossRefGoogle Scholar
  22. 22.
    Katagiri S, Ariizumi SI, Kotera Y, Takahashi Y, Yamamoto M. Right hepatectomy using Glissonean pedicle transection method with anterior approach (with video). J Hepatobiliary Pancreat Sci. 2012;19(1):25–9.CrossRefGoogle Scholar
  23. 23.
    Mouly C, Fuks D, Browet F, Mauvais F, Potier A, Yzet T, Quentin Q, Regimbeau JM. Feasibility of the Glissonian approach during right hepatectomy. HPB. 2013;15(8):638–45.PubMedPubMedCentralCrossRefGoogle Scholar
  24. 24.
    Madoff D, Hicks M, Vauthey JN, Charnsangavej C, Morello JF, Ahrar K, Wallace MJ, Gupta S. Transhepatic portal vein embolization: anatomy, indications, and technical considerations. Radiographics. 2002;22(5):1063–76.PubMedCrossRefGoogle Scholar
  25. 25.
    Nakai T, Koh K, Funai S, Kawabe T, Okuno K, Yasutomi M. Comparison of controlled and Glisson’s pedicle transections of hepatic hilum occlusion for hepatic resection. J Am Coll Surg. 1999;189(3):300–4.PubMedCrossRefGoogle Scholar
  26. 26.
    Takasaki K. Procedures for hepatic resection. Anterior approach technique. In: Glissonean pedicle transection method for hepatic resection. Tokyo: Springer; 2007. p. 76–82.Google Scholar
  27. 27.
    Lowe MC, D’Angelica MI. Anatomy of hepatic resectional surgery. Surg Clin N Am. 2016;96(2):183–95.PubMedCrossRefGoogle Scholar
  28. 28.
    Lau WY, et al. Chapter 10. Other techniques in controlling haemorrhage during liver resection. In: Lau WY, editor. Applied anatomy in liver resection and liver transplantation. Beijing: People’s Medical Publishing House; 2010. p. 92.Google Scholar
  29. 29.
    Takayama C. Chapter 2. Left Sectionectomy (S1~S4). In: Makuuchi M, editor. Makuuchi Kanzou Gekagaku (in Japanese)/(translated to Chinese by Yong Zeng). Beijing: People’s Medical Publishing House; 2016. p. 110–21.Google Scholar
  30. 30.
    Kamiyama T, Kakisaka T, Orimo T, Wakayama K. Hepatectomy for hepatocellular carcinoma with portal vein tumor thrombus. World J Hepatol. 2017;9(36):1296–304.PubMedPubMedCentralCrossRefGoogle Scholar
  31. 31.
    Lau WY, et al. Chapter 6. Introhepatic Glissonian triad: anatomy relevant to liver resection and liver transplantation. In: Lau WY, editor. Applied anatomy in liver resection and liver transplantation. Beijing: People’s Medical Publishing House; 2011. p. 49.Google Scholar
  32. 32.
    Kim SH, Kim YK. Hanging manoeuver for a left hepatectomy using Glisson’s approach with a focus on tape position in liver hilum. HPB. 2013;15(9):681–6.PubMedCrossRefPubMedCentralGoogle Scholar
  33. 33.
    Fredet M, Bernier E. Hepatectomie segmentaire droite reglee pour volumineux hemangiome caverneus defoie. Mem Acad Chir. 1956;82:1060–2.PubMedPubMedCentralGoogle Scholar
  34. 34.
    Kim KH, Kim HS, Lee YJ, Park KM, Hwang S, Ahn CS, Moon DB, Ha TY, Kim YD, Kim KK, Song KW, Choi ST, Kim DS, Jung DH, Lee SG. Clinical analysis of right anterior segmentectomy for hepatic malignancy. Hepato-Gastroenterology. 2006;53(72):836.PubMedPubMedCentralGoogle Scholar
  35. 35.
    Figueroa R, Laurenzi A, Laurent A, Cherqui D. Perihilar Glissonian approach for anatomical parenchymal sparing liver resections: technical aspects: the taping game. Ann Surg. 2018;267(3):537–43.PubMedCrossRefPubMedCentralGoogle Scholar
  36. 36.
    Kirchner VA, Kim KH, Kim SH, Lee SK. Pure laparoscopic right anterior sectionectomy for hepatocellular carcinoma with great vascular exposure. Surg Endosc. 2017;31(8):3349–50.PubMedCrossRefPubMedCentralGoogle Scholar
  37. 37.
    Makuuchi M, Hashikura Y, Kawasaki S, Tan D, Kosuge T, Takayama T. Personal experience of right anterior segmentectomy (segments V and VIII) for hepatic malignancies. Surgery. 1993;114(1):52–8.PubMedPubMedCentralGoogle Scholar
  38. 38.
    Nakayama H, Tadatoshi T. Management before hepatectomy for hepatocellular carcinoma with cirrhosis. World J Hepatol. 2015;7(20):2292–302.PubMedPubMedCentralCrossRefGoogle Scholar
  39. 39.
    Malassagne B, Cherqui D, Alon R, Brunetti F, Humeres R, Fagniez PL. Safety of selective vascular clamping for major hepatectomies. J Am Coll Surg. 1998;187(5):482.PubMedCrossRefGoogle Scholar
  40. 40.
    Miao XY, Hu JX, Dai WD, Zhong DW, Huang SF, Wen Y, Xiong SZ. Anatomic mesohepatectomy with extrahepatic control of hepatic veins. Hepato-Gastroenterology. 2009;56(96):1730–4.PubMedPubMedCentralGoogle Scholar
  41. 41.
    Hashimoto T. Chapter 4. Right anterior sectionectomy. In: Makuuchi M, editor. Makuuchi Kanzou Gekagaku (in Japanese)/(translated to Chinese by Yong Zeng). Beijing: People’s Medical Publishing House; 2016. p. 122–33.Google Scholar
  42. 42.
    Yamashita YI, Imai K, Tsujita E, Kaida T, Yamao T, Umezaki N, Nakagawa S, Hashimoto D, Chikamoto A, Baba H. Selective venous occlusions for reducing blood loss during right anterior sectionectomy of the liver for hepatocellular carcinoma. J Am Coll Surg. 2017;224(2):e5–9.PubMedCrossRefGoogle Scholar
  43. 43.
    Cheng YF, Huang TL, Lee TY, Chen TY, Chen CL. Variation of the intrahepatic portal vein; angiographic demonstration and application in living-related hepatic transplantation. Transplant Proc. 1996;28(3):1667–8.PubMedGoogle Scholar
  44. 44.
    Couinaud C. Liver anatomy: portal (and suprahepatic) or biliary segmentation digestive. Surgery. 1999;16(6):459.Google Scholar
  45. 45.
    Covey AM, Brody LA, Getrajdman GI, Sofocleous CT, Brown KT. Incidence, patterns, and clinical relevance of variant portal vein anatomy. AJR Am J Roentgenol. 2004;183(4):1055–64.PubMedCrossRefGoogle Scholar
  46. 46.
    Koç Z, Oğuzkurt L, Ulusan S. Portal vein variations: clinical implications and frequencies in routine abdominal multidetector CT. Diagn Interv Radiol. 2007;13(2):75.PubMedGoogle Scholar
  47. 47.
    Germain T, Favelier S, Cercueil JP, Denys A, Krausé D, Guiu B. Liver segmentation: practical tips. Diagn Interv Imaging. 2014;95(11):1003–16.PubMedCrossRefPubMedCentralGoogle Scholar
  48. 48.
    Iqbal S, Iqbal R, Iqbal F. Surgical implications of portal vein variations and liver segmentations: a recent update. J Clin Diagn Res. 2017;11(2):AE01.PubMedPubMedCentralGoogle Scholar
  49. 49.
    Atasoy C, Ozyürek E. Prevalence and types of main and right portal vein branching variations on MDCT. AJR Am J Roentgenol. 2006;187(3):676–81.PubMedCrossRefPubMedCentralGoogle Scholar
  50. 50.
    Fujimoto J, Hai S, Hirano T, Iimuro Y, Yamanaka J. Anatomic liver resection of right paramedian sector: ventral and dorsal resection. J Hepatobiliary Pancreat Sci. 2015;22(7):538–45.PubMedCrossRefGoogle Scholar
  51. 51.
    Shimizu H, Sawada S, Kimura F, Yoshidome H, Ohtsuka M, Kato A, Miyazaki M. Clinical significance of biliary vascular anatomy of the right liver for hilar cholangiocarcinoma applied to left hemihepatectomy. Ann Surg. 2009;249(3):435–9.PubMedCrossRefGoogle Scholar
  52. 52.
    Jia CK, Weng J, Chen YK, Fu Y. Anatomic resection of liver segments 6-8 for hepatocellular carcinoma. World J Gastroenterol. 2014;20(15):4433–9.PubMedPubMedCentralCrossRefGoogle Scholar
  53. 53.
    Chun YS, Ribero D, Abdalla EK, Madoff DC, Mortenson MM, Wei SH, Vauthey JN. Comparison of two methods of future liver remnant volume measurement. J Gastrointest Surg. 2008;12(1):123–8.PubMedCrossRefGoogle Scholar
  54. 54.
    Yip VSK, Poon RTP, Chok KSH, Chan AC, Dai WC, Tsang SH, Chan SC, Lo CM, Cheung TT. Comparison of survival outcomes between right posterior sectionectomy and right hepatectomy for hepatocellular carcinoma in cirrhotic liver: a single-centre experience. World J Surg. 2015;39:2764–70.PubMedCrossRefGoogle Scholar
  55. 55.
    Lim C, Ishizawa T, Miyata A, Mise Y, Sakamoto Y, Hasegawa K, Sugawara Y, Kokudo N. Surgical indications and procedures for resection of hepatic malignancies confined to segment VII. Ann Surg. 2016;263:529–37.PubMedCrossRefPubMedCentralGoogle Scholar
  56. 56.
    Pugh RN, Murray-Lyon IM, Dawson JL, Pietroni MC, Williams R. Transection of the oesophagus for bleeding oesophageal varices. Br J Surg. 1973;60(8):646–9.CrossRefGoogle Scholar
  57. 57.
    Cai SW, Yang SZ, Lv WP, Yamazaki S, Kakazu T, Miyagawa S, Kawasaki S. Sustained methylene blue staining toguide anatomic hepatectomy forhepatocellular carcinoma: initial experience and technical details. Surgery. 2015;158(1):121–7.CrossRefGoogle Scholar
  58. 58.
    Ahn KS, Kang KJ, Park TJ, Kim YH, Lim TJ, Kwon JH. Benefit of systematic segmentectomy of the hepatocellular carcinoma: revisiting the dye injection method for various portal vein branches. Ann Surg. 2013;258(6):1014–21.PubMedCrossRefPubMedCentralGoogle Scholar
  59. 59.
    Fischer L, Cardenas C, Thorn M, Benner A, Grenacher L, Vetter M, Lehnert T, Klar E, Meinzer HP, Lamadé W. Limits of Couinaud’s liver segment classification: a quantitative computer-based three-dimensional analysis. J Comput Assist Tomogr. 2002;26:962–7.CrossRefGoogle Scholar
  60. 60.
    Shindoh J, Mise Y, Satou S, Sugawara Y, Kokudo N. The intersegmental plane of the liver is not always flat-tricks for anatomical liver resection. Ann Surg. 2010;251:917–22.CrossRefGoogle Scholar
  61. 61.
    Torzilli G, Donadon M, Marconi M, Botea F, Palmisano A, Del Fabbro D, Procopio F, Montorsi M. Systematic extended right posterior sectionectomy: a safe and effective alternative to right hepatectomy. Ann Surg. 2008;247(4):603.PubMedCrossRefPubMedCentralGoogle Scholar
  62. 62.
    Torzilli G, Procopio F, Donadon M, Palmisano A, Del Fabbro D, Montorsi M. Anatomical right posterior sectionectomy: a further expansion of the ultrasound-guided compression technique. Updat Surg. 2011;63(2):91–5.CrossRefGoogle Scholar
  63. 63.
    Fisher SB, Kneuertz PJ, Dodson RM, Patel SH, Maithel SK, Sarmiento JM, Russell MC, Cardona K, Choti MA, Staley CA 3rd, Pawlik TM, Kooby DA. A comparison of right posterior sectorectomy with formal right hepatectomy: a dual-institution study. HPB. 2013;15(10):753–62.PubMedPubMedCentralCrossRefGoogle Scholar
  64. 64.
    Lau WY. Chapter 2. Liver Segments. In: Lau WY, editor. Applied anatomy in liver resection and liver transplantation. Beijing: People’s Medical Publishing House; 2010. p. 21.Google Scholar
  65. 65.
    Nakayama H. Chapter 5. Left lateral sectionectomy. In: Makuuchi M, editor. Makuuchi Kanzou Gekagaku (in Japanese)/(translated to Chinese by Yong Zeng). Beijing: People’s Medical Publishing House; 2016. p. 146–55.Google Scholar
  66. 66.
    Ikai I, Arii S, Okazaki M, Okita K, Omata M, Kojiro M, Takayasu K, Nakanuma Y, Makuuchi M, Matsuyama Y, Monden M, Kudo M. Report of the 17th nationwide follow-up survey of primary liver cancer in Japan. Hepatol Res. 2007;37(9):676–91.PubMedCrossRefGoogle Scholar
  67. 67.
    Arii S, Tanaka J, Yamazoe Y, Minematsu S, Morino T, Fujita K, Maetani S, Tobe T. Predictive factors for intrahepatic recurrence of hepatocellular carcinoma after partial hepatectomy. Cancer. 1992;69(4):913–9.PubMedCrossRefGoogle Scholar
  68. 68.
    Ikai I, Arii S, Kojiro M, Ichida T, Makuuchi M, Matsuyama Y, Nakanuma Y, Okita K, Omata M, Takayasu K, Yamaoka Y. Reevaluation of prognostic factors for survival after liver resection in patients with hepatocellular carcinoma in a Japanese nationwide survey. Cancer. 2004;101(4):796–802.PubMedCrossRefGoogle Scholar
  69. 69.
    Llovet JM, Ricci S, Mazzaferro V, Hilgard P, Gane E, Blanc JF, de Oliveira AC, Santoro A, Raoul JL, Forner A, Schwartz M, Porta C, Zeuzem S, Bolondi L, Greten TF, Galle PR, Seitz JF, Borbath I, Häussinger D, Giannaris T, Shan M, Moscovici M, Voliotis D, Bruix J, SHARP Investigators Study Group. Sorafenib in advanced hepatocellular carcinoma. N Engl J Med. 2008;359(23):378–90.PubMedCrossRefGoogle Scholar
  70. 70.
    Kudo M, Izumi N, Kokudo N, Matsui O, Sakamoto M, Nakashima O, Kojiro M, Makuuchi M, HCC Expert Panel of Japan Society of Hepatology. Management of hepatocellular carcinoma in Japan: consensus-based clinical practice guidelines proposed by the Japan Society of Hepatology (JSH) 2010 updated version. Dig Dis. 2011;29(3):339–64.PubMedCrossRefGoogle Scholar
  71. 71.
    Minagawa M, Makuuchi M, Takayama T, Ohtomo K. Selection criteria for hepatectomy in patients with hepatocellular carcinoma and portal vein tumor thrombus. Ann Surg. 2001;233(3):379–84.PubMedPubMedCentralCrossRefGoogle Scholar
  72. 72.
    Nagano H, Sakon M, Eguchi H, Kondo M, Yamamoto T, Ota H, Nakamura M, Wada H, Damdinsuren B, Marubashi S, Miyamoto A, Takeda Y, Dono K, Umeshit K, Nakamori S, Monden M. Hepatic resection followed by IFN-alpha and 5-FU for advanced hepatocellular carcinoma with tumor thrombus in the major portal branch. Hepato-Gastroenterology. 2007;54(73):172–9.PubMedPubMedCentralGoogle Scholar
  73. 73.
    Cho JY, Han HS, Yoon YS, Shin SH. Feasibility of laparoscopic liver resection for tumors located in the posterosuperior segments of the liver, with a special reference to overcoming current limitations on tumor location. Surgery. 2008;144(1):32.PubMedCrossRefPubMedCentralGoogle Scholar
  74. 74.
    Cherqui D, Husson E, Hammoud R, Malassagne B, Stéphan F, Bensaid S, Rotman N, Fagniez PL. Laparoscopic liver resections: a feasibility study in 30 patients. Ann Surg. 2000;232(6):753.PubMedPubMedCentralCrossRefGoogle Scholar
  75. 75.
    Han HS, Cho JY, Yoon YS. Techniques for performing laparoscopic liver resection in various hepatic locations. J Hepato-Biliary-Pancreat Surg. 2009;16(4):427–32.CrossRefGoogle Scholar
  76. 76.
    Iguchi K, Hatano E, Yamanaka K, Tanaka S, Taura K, Uemoto S. Validation of the conventional resection criteria in patients with hepatocellular carcinoma in terms of the incidence of posthepatectomy liver failure and long-term prognosis. Dig Surg. 2015;32(5):344–51.PubMedCrossRefPubMedCentralGoogle Scholar
  77. 77.
    Lau WY, et al. Chapter 6. Intrahepatic Glissonian triad: anatomy relevant to liver resection and liver transplantation. In: Lau WY, editor. Applied anatomy in liver resection and liver transplantation. Beijing: People’s Medical Publishing House; 2010. p. 45–9.Google Scholar
  78. 78.
    Dina C, Bordei P, Beşleagǎ A, Bordei L. Aspects de la vascularisation segmentaire veineuse du foie. Morphologie. 2005;89(287):176.CrossRefGoogle Scholar
  79. 79.
    Couinaud C. Le foie: Etudes anatomiques et chirurgicales. Paris: Masson; 1957.Google Scholar
  80. 80.
    Blumgart LH, Baer HU, Czerniak A, Zimmermann A, Dennison AR. Extended left hepatectomy: technical aspects of an evolving procedure. Br J Surg. 1993;80(7):903–6.PubMedCrossRefGoogle Scholar
  81. 81.
    Vauthey JN, Pawlik TM, Abdalla EK, Arens JF, Nemr RA, Wei SH, Kennamer DL, Ellis LM, Curley SA. Is extended hepatectomy for hepatobiliary malignancy justified? Ann Surg. 2004;239(5):722–32.PubMedPubMedCentralCrossRefGoogle Scholar
  82. 82.
    Wu CC, Ho WL, Chen JT, Tang CS, Yeh DC, Liu TJ, P’eng FK. Mesohepatectomy for centrally located hepatocellular carcinoma: an appraisal of a rare procedure. J Am Coll Surg. 1999;188(5):508–15.PubMedPubMedCentralCrossRefGoogle Scholar
  83. 83.
    Lee JG, Choi SB, Kim KS, Choi JS, Lee WJ, Kim BR. Central bisectionectomy for centrally located hepatocellular carcinoma. Br J Surg. 2008;95(8):990–5.PubMedPubMedCentralCrossRefGoogle Scholar
  84. 84.
    Dai WD, Hu JX, Miao XY, Zhong DW, Wen Y, Xiong SZ. Intrahepatic Glissonian access for mesohepatectomy in cirrhotic patients. Hepato-Gastroenterology. 2008;55(85):1153–7.PubMedGoogle Scholar
  85. 85.
    Miao XY, Hu JX, Dai WD, Zhong DW, Xiong SZ. Null-margin mesohepatectomy for centrally located hepatocellular carcinoma in cirrhotic patients. Hepato-Gastroenterology. 2011;58(106):575–82.PubMedGoogle Scholar
  86. 86.
    Scudamore CH, Buczkowski AK, Shayan H, Ho SG, Legiehn GM, Chung SW, Owen DA. Mesohepatectomy. Am J Surg. 2000;179(5):356–60.PubMedCrossRefGoogle Scholar
  87. 87.
    McBride CM, Wallace S. Cancer of the right lobe of the liver: a variety of operative procedures. Arch Surg. 1972;105(2):289–96.PubMedCrossRefGoogle Scholar
  88. 88.
    Chouillard E, Cherqui D, Tayar C, Brunetti F, Fagniez PL. Anatomical bi- and trisegmentectomies as alternatives to extensive liver resections. Ann Surg. 2003;238(1):29–34.PubMedPubMedCentralGoogle Scholar
  89. 89.
    Jacobs M, McDonough J, ReMine SG. Resection of central hepatic malignant lesions. Am Surg. 2003;69(3):186–9.PubMedGoogle Scholar
  90. 90.
    Ogura Y, Matsuda S, Sakurai H, Kawarada Y, Mizumoto R. Central bisegmentectomy of the liver plus caudate lobectomy for carcinoma of the gallbladder. Dig Surg. 1988;15(3):218–23.CrossRefGoogle Scholar
  91. 91.
    Hu RH, Lee PH, Chang YC, Ho MC, Yu SC. Treatment of centrally located hepatocellular carcinoma with central hepatectomy. Surgery. 2003;133(3):251–6.PubMedCrossRefGoogle Scholar
  92. 92.
    Yu WB, Rao A, Vu V, Xu L, Rao JY, Wu JX. Management of centrally located hepatocellular carcinoma: update 2016. World J Hepatol. 2017;9(13):627–34.PubMedPubMedCentralCrossRefGoogle Scholar
  93. 93.
    Wu CC. Progress of liver resection for hepatocellular carcinoma in Taiwan. Jpn J Clin Oncol. 2017;47(5):375–80.PubMedCrossRefGoogle Scholar
  94. 94.
    Qiu J, Chen S, Wu H, Du C. The prognostic value of a classification system for centrally located liver tumors in the setting of hepatocellular carcinoma after mesohepatectomy. Surg Oncol. 2016;25(4):441–7.PubMedCrossRefGoogle Scholar
  95. 95.
    Yang LY, Chang RM, Lau WY, Ou DP, Wu W, Zeng ZJ. Mesohepatectomy for centrally located large hepatocellular carcinoma: indications, techniques, and outcomes. Surgery. 2014;156(5):1177–87.PubMedCrossRefGoogle Scholar
  96. 96.
    Li J, Wang C, Song J, Chen N, Jiang L, Yang J, Yan L. Mesohepatectomy versus extended hemihepatectomies for centrally located liver tumors: a meta-analysis. Sci Rep. 2017;7(1):9329.PubMedPubMedCentralCrossRefGoogle Scholar
  97. 97.
    Li W, Li L, Minigalin D, Wu H. Anatomic mesohepatectomy versus extended hepatectomy for patients with centrally located hepatocellular carcinoma. HPB. 2018. pii: S1365-182X(17):31166-8.Google Scholar
  98. 98.
    Billingsley KG, Jarnagin WR, Fong Y, Blumgart LH. Segment-oriented hepatic resection in the management of malignant neoplasms of the liver. J Am Coll Surg. 1998;187(5):471–81.PubMedCrossRefGoogle Scholar
  99. 99.
    Mazziotti A, Maeda A, Ercolani G, Cescon M, Grazi GL, Pierangeli F. Isolated resection of segment 8 for liver tumors: a new approach for anatomical segmentectomy. Arch Surg. 2000;135(10):1224–9.PubMedCrossRefGoogle Scholar
  100. 100.
    Hu JX, Dai WD, Miao XY, Zhong DW, Huang SF, Wen Y, Xiong SZ. Anatomic resection of segment VIII of liver for hepatocellular carcinoma in cirrhotic patients based on an intrahepatic Glissonian approach. Surgery. 2009;146(5):854–60.CrossRefGoogle Scholar
  101. 101.
    Kishi Y, Hasegawa K, Kaneko J, Aoki T, Beck Y, Sugawara Y, Makuuchi M, Kokudo N. Resection of segment VIII for hepatocellular carcinoma. Br J Surg. 2012;99(8):1105–12.PubMedCrossRefGoogle Scholar
  102. 102.
    Launois B, Tay KH. Intrahepatic Glissonian approach in hepatocellular carcinoma. Singapore: World Scientific Publishing; 2008. p. 429–46.CrossRefGoogle Scholar
  103. 103.
    Yoshida H, Katayose Y, Rikiyama T, Motoi F, Onogawa T, Egawa S, Unno M. Segmentectomy of the liver. J Hepatobiliary Pancreat Sci. 2012;19(1):67–71.CrossRefGoogle Scholar
  104. 104.
    Hasegawa K, Kokudo N, Imamura H, Matsuyama Y, Aoki T, Minagawa M, Sano K, Sugawara Y, Takayama T, Makuuchi M. Prognostic impact of anatomic resection for hepatocellular carcinoma. Ann Surg. 2005;242(2):252–9.PubMedPubMedCentralCrossRefGoogle Scholar
  105. 105.
    Nakayama H. Chapter 9. S7 resection. In: Makuuchi M, editor. Makuuchi Kanzou Gekagaku (in Japanese)/(translated to Chinese by Yong Zeng). Beijing: People’s Medical Publishing House; 2016. p. 188–95.Google Scholar
  106. 106.
    Tanaka K, Shimada H, Matsumoto C, Matsuo K, Nagano Y, Endo I, Togo S. Anatomic versus limited nonanatomic resection for solitary hepatocellular carcinoma. Surgery. 2008;143(5):607–15.PubMedPubMedCentralCrossRefGoogle Scholar
  107. 107.
    Kang KJ, Ahn KS. Anatomical resection of hepatocellular carcinoma: a critical review of the procedure and its benefits on survival. World J Gastroenterol. 2017;23(7):1139–46.PubMedPubMedCentralCrossRefGoogle Scholar
  108. 108.
    Lui WY, Chau GY, Loong CC, Tsay SH, Wu JC, King KL, Chiu JH, Lai CR, P’eng FK. Hepatic segmentectomy for curative resection of primary hepatocellular carcinoma. Arch Surg. 1995;130(10):1090–7.PubMedCrossRefGoogle Scholar
  109. 109.
    Makuuchi M, Imamura H, Sugawara Y, Takayama T. Progress in surgical treatment of hepatocellular carcinoma. Oncology. 2002;62(1):74–81.PubMedCrossRefGoogle Scholar
  110. 110.
    Liau KH, Blumgart LH, Dematteo RP. Segment-oriented approach to liver resection. Surg Clin North Am. 2004;84(2):543.PubMedCrossRefGoogle Scholar
  111. 111.
    Shou-Wang C, Shi-Zhong Y, Wen-Ping L, Geng C, Wan-qing G, Wei-dong D, Wei-yi W, Zhi-qiang H, Jia-hong D. Sustained methylene blue staining to guide anatomic hepatectomy for hepatocellular carcinoma: initial experience and technical details. Surgery. 2015;158(1):121–7.PubMedCrossRefPubMedCentralGoogle Scholar
  112. 112.
    Eguchi S, Kanematsu T, Arii S, Okazaki M, Okita K, Omata M, Ikai I, Kudo M, Kojiro M, Makuuchi M. Comparison of the outcomes between an anatomical subsegmentectomy and a non-anatomical minor hepatectomy for single hepatocellular carcinomas based on a Japanese nationwide survey. Surgery. 2008;143(4):469–75.PubMedCrossRefPubMedCentralGoogle Scholar
  113. 113.
    Regimbeau JM, Kianmanesh R, Farges O, Dondero F, Sauvanet A, Belghiti J. Extent of liver resection influences the outcome in patients with cirrhosis and small hepatocellular carcinoma. Surgery. 2002;131(3):311–7.PubMedCrossRefPubMedCentralGoogle Scholar
  114. 114.
    Torzilli G, Procopio F, Cimino M, Del Fabbro D, Palmisano A, Donadon M, Montorsi M. Anatomical segmental and subsegmental resection of the liver for hepatocellular carcinoma: a new approach by means of ultrasound-guided vessel compression. Ann Surg. 2009;251(2):229–35.CrossRefGoogle Scholar
  115. 115.
    Wakai T, Shirai Y, Sakata J, Kaneko K, Cruz PV, Akazawa K, Hatakeyama K. Anatomic resection independently improves long-term survival in patients with T1-T2 hepatocellular carcinoma. Ann Surg Oncol. 2007;14(4):1356–65.PubMedCrossRefPubMedCentralGoogle Scholar
  116. 116.
    Imamura DH, Matsuyama Y, Miyagawa Y, Ishida K, Shimada R, Miyagawa S, Makuuchi M, Kawasaki S. Prognostic significance of anatomical resection and des-γ-carboxy prothrombin in patients with hepatocellular carcinoma. Br J Surg. 1999;86(8):1032–8.PubMedCrossRefPubMedCentralGoogle Scholar
  117. 117.
    Castaing D, Garden OJ, Bismuth H. Segmental liver resection using ultrasound-guided selective portal venous occlusion. Ann Surg. 1989;210(1):20–3.PubMedPubMedCentralCrossRefGoogle Scholar
  118. 118.
    Cho A, Okazumi S, Takayama W, Takeda A, Iwasaki K, Sasagawa S, Natsume T, Kono T, Kondo S, Ochiai T. Anatomy of the right anterosuperior area (segment 8) of the liver: evaluation with helical CT during arterial portography. Radiology. 2000;214(2):491–5.PubMedPubMedCentralCrossRefGoogle Scholar
  119. 119.
    Ohashi I, Ina H, Okada Y, Yoshida T, Gomi N, Himeno Y, Hanafusa K, Shibuya H. Segmental anatomy of the liver under the right diaphragmatic dome: evaluation with axial CT. Radiology. 1996;200(3):779–83.PubMedCrossRefGoogle Scholar
  120. 120.
    van Leeuwen MS, Noordzij J, Fernandez MA, Hennipman A, Feldberg MA, Dillon EH. Portal venous and segmental anatomy of the right hemiliver: observations based on three-dimensional spiral CT renderigs. AJR Am J Roentgenol. 1994;163(6):1395–404.PubMedCrossRefGoogle Scholar
  121. 121.
    Makuuchi M. Intrahepatic architecture of the portal vein in right anterior sector of the liver by ultrasound imaging approach. Kanzo. 1986;27:391. [In Japanese].CrossRefGoogle Scholar
  122. 122.
    Couinaud C. Surgical anatomy of the liver revised. Paris: Acheve D’imprimer Sur Les Presses; 1989.Google Scholar
  123. 123.
    Miyagawa S. Surgical strategy for HCC using ICG test. Liver Cancer. 2013;2:108–9.CrossRefGoogle Scholar
  124. 124.
    Nakayama H. Chapter 10. S5 resection. In: Makuuchi M, editor. Makuuchi Kanzou Gekagaku (in Japanese)/(translated to Chinese by Yong Zeng). Beijing: People’s Medical Publishing House; 2016. p. 196–205.Google Scholar
  125. 125.
    Huang JS, Dai WD, Miao XY, Zhong DW, Xiong SZ, Hu JX. Null-margin bisegmentectomy VII-VIII for hepatocellular carcinoma in cirrhotic patients. Hepato-Gastroenterology. 2012;59(118):1706–9.PubMedGoogle Scholar
  126. 126.
    Makuuchi M, Hasegawa H, Yamazaki S. Ultrasonically guided subsegmentectomy. Surg Gynecol Obstet. 1985;161(4):346–50.Google Scholar
  127. 127.
    Takayama T, Makuuchi M, Watanabe K, Kosuge T, Takayasu K, Yamazaki S, Hasegawa H. A new method for mapping hepatic subsegment: counterstaining identification technique. Surgery. 1991;109(2):226–9.PubMedGoogle Scholar
  128. 128.
    Cucchetti A, Cescon M, Ercolani G, Bigonzi E, Torzilli G, Pinna AD. A comprehensive meta-regression analysis on outcome of anatomic resection versus non-anatomic resection for hepatocellular carcinoma. Ann Surg Oncol. 2012;19(12):3697–705.PubMedCrossRefGoogle Scholar
  129. 129.
    Lim C, Ishizawa T, Miyata A, Sakamoto Y, Hasegawa K, Sugawara Y, Kokudo N. Surgical indications and procedures for resection of hepatic malignancies confined to segment VII. Ann Surg. 2015;263(3):529–37.CrossRefGoogle Scholar
  130. 130.
    Launois B, Tay KH. Introhepatic Glissonian approach. In: Lau WY, editor. Hepatocellular carcinoma. Singapore: World Scientific Publishing; 2008. p. 429–46.CrossRefGoogle Scholar
  131. 131.
    Zimmitti G, Roses RE, Andreou A, Shindoh J, Curley SA, Aloia TA, Vauthey JN. Greater complexity of liver surgery is not associated with an increased incidence of liver-related complications except for bile leak: an experience with 2,628 consecutive resections. J Gastrointest Surg. 2013;17(1):57–64.PubMedCrossRefGoogle Scholar
  132. 132.
    Sadamori H, Yagi T, Shinoura S, Umeda Y, Yoshida R, Satoh D, Nobuoka D, Utsumi M, Fujiwara T. Risk factors for major morbidity after liver resection for hepatocellular carcinoma. Br J Surg. 2013;100(1):122–9.CrossRefGoogle Scholar
  133. 133.
    Dokmak S, Fteriche FS, Borscheid R, Cauchy F, Farges O, Belghiti J. Liver resections in the 21st century: we are far from zero mortality. HPB (Oxford). 2013;15(11):908–15.CrossRefGoogle Scholar
  134. 134.
    Poon RT, Fan ST, Lo CM, Liu CL, Lam CM, Yuen WK, Yeung C, Wong J. Improving perioperative outcome expands the role of hepatectomy in management of benign and malignant hepatobiliary diseases: analysis of 1222 consecutive patients from a prospective database. Ann Surg. 2004;240(4):698–708.PubMedPubMedCentralGoogle Scholar
  135. 135.
    Mullen JT, Ribero D, Reddy SK, Donadon M, Zorzi D, Gautam S, Abdalla EK, Curley SA, Capussotti L, Clary BM, Vauthey JN. Hepatic insufficiency and mortality in 1,059 noncirrhotic patients undergoing major hepatectomy. J Am Coll Surg. 2007;204(5):854–62.PubMedCrossRefGoogle Scholar
  136. 136.
    Kingham TP, Correa-Gallego C, D’Angelica MI, Gönen M, DeMatteo RP, Fong Y, Allen PJ, Blumgart LH, Jarnagin WR. Hepatic parenchymal preservation surgery: decreasing morbidity and mortality rates in 4,152 resections for malignancy. J Am Coll Surg. 2015;220(4):471–9.CrossRefGoogle Scholar
  137. 137.
    Shindoh J, Vauthey JN, Zimmitti G, Curley SA, Huang SY, Mahvash A, Gupta S, Wallace MJ, Aloia TA. Analysis of the efficacy of portal vein embolization for patients with extensive liver malignancy and very low future liver remnant volume, including a comparison with the associating liver partition with portal vein ligation for staged hepatectomy approach. J Am Coll Surg. 2013;217(1):126–33.PubMedCrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Jixiong Hu
    • 1
  • Weidong Dai
    • 1
  • Zhongkun Zuo
    • 2
  • Chun Liu
    • 1
  1. 1.Department of Hepatobiliary Surgery and Hunan Provincial Key Laboratory of Hepatobiliary Disease ResearchThe Second Xiangya Hospital, Central South UniversityChangshaPR China
  2. 2.Department of Minimally Invasive SurgeryThe Second Xiangya Hospital, Central South UniversityChangshaChina

Personalised recommendations