WebThe right hepatectomy can be extended to include the middle hepatic vein and part of segment IV. To include the MHV, the transection begins to the left of the gallbladder fossa, and the first major structure expected is the segment IVb vein as it forms the MHV. WebNov 2, 2024 · This chapter describes the surgical procedure for hepatic resection (right/left hepatectomy; extended right/left hepatectomy; wedge resection). The text includes an …
Segmental Oriented Liver Surgery IntechOpen
WebMar 25, 2024 · 3.4 Step-by-Step Right Hepatectomy 3.4.1 Preliminary Steps. Prior to dissection of the hilum, the falciform ligament should be divided to allow safer manipulation of the liver and a thorough ultrasound scanning. A Hem-o-lok clip is sometimes needed to control bleeding from the umbilical vessels. The liver is retracted upward with the third … WebAug 1, 2016 · The conventional method for right hepatectomy is complete mobilization of right liver, control of vascular inflow and outflow of the part of liver to be resected, … natural water ponds
[A new surgical technique for extended right hepatectomy
WebMethods: Patients undergoing minimally invasive right hepatectomy were included. Ultrasound-guided hepatectomy (UGH) was defined by the following main steps: (1) ultrasound-guided definition of the transection line, (2) dissection of the liver parenchyma according to the caudal approach, (3) intraparenchymal transection of the right pedicle … WebAug 25, 2024 · Right Hepatectomy (Glissonean Pedicle approach) - Step by Step with Explanation 3,125 views Aug 25, 2024 65 Dislike Mastering HPB Surgery 1.16K subscribers Notice You're signed out of... WebThe passage through the hilar plate is one of the most difficult surgical steps during right graft hepatectomies. ... Figure 3: A–D. Strategy of transhilar passage in right graft hepatectomy. PV (blue): portal vein; BD (green): bile duct; HA (red): hepatic artery; anterior sector: second-order branch of the right bile duct draining segments 5 ... marin county department of social services