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| http://dx.doi.org/10.1016/j.hpb.2024.05.002 | DOI Listing |
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Article Synopsis
- The laparoscopic method for liver segment II resection, called left lateral section-flip up, helps safely isolate the Glissonean branch of segment II while revealing the left hepatic vein.
- The procedure involves flipping the left lateral section, clamping the G2 root, and using indocyanine green for clear imaging of the liver structure.
- Key challenges include isolating the G2 without affecting the G3 branch and aligning the resection with the direction of the left hepatic vein, which this approach addresses for improved accuracy in liver surgeries.
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Background: Laparoscopic anatomical liver resection of segment 8 (LALR-S8) remains a challenge for anatomical laparoscopic segmentectomy. Most current reports on LALR-S8 are case series using one surgical approach, and there is a lack of multicenter data on identifying intersegmental planes using different approaches. In this study, the authors aimed to elucidate the short-term results of three different approaches for LALR-S8 for hepatocellular carcinoma (HCC), focusing on intersegmental plane determination, and to reflect on current practice regarding different approaches at multiple centers in China.
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