Application of the main hepatic vein exposure from the cranial side through preceding liver parenchyma transection approach in laparoscopic anatomical liver resection of S8
SUN Louzong
WANG Qingda
YANG Nan
Abstract：The main pattern of hepatocellular carcinoma metastasis is the intrahepatic metastasis via portal vein,therefore,anatomical liver resection based on portal vein territory is a traditional surgical procedure for hepatocellular carcinoma.Laparoscopic anatomical liver resection of S8 might be a difficult procedure,for the identification and exposure of G8 by Glissonean approach first(from the hilum)is difficult and time-consuming,associated with a higher incidence of bile leakage,and its clinical application is difficult.Exposure of the main hepatic vein(MHV,RHV)from the cranial side through preceding liver parenchyma transection approach combined with marking of the G8 root using intraoperative ultrasound-guidance can better guide the parenchymal dissection between S5 and S8,reduce the difficulty of laparoscopic anatomical liver resection of S8,and facilitate clinical application and promotion.
Keywords：laparoscopicanatomical liver resection of S8hepatocellular carcinoma
Publication Date：2024-12-20
Online Publishing Date：2026-01-26(First online date of this platform, not the publication date of the document)
Pages：2( 17-18 )