Laparoscopic anatomical hepatectomy had developed considerably in recent years, but some complex sites of anatomical hepatectomy, such as anatomical resection of the right posterior lobe of the liver, still presented some technical difficulties. Combining the specific perspective of laparoscope and the particular anatomical structure of the right posterior lobe of the liver, we had proposed a strategy of anatomical right posterior lobe resection via cranial-dorsal approach. The right posterior lobe resection plane was defined by point (right hepatic vein root)—by line (ischemic line/right hepatic vein)—by plane (hepatic surface ischemic line and right hepatic vein composition) to achieve precise anatomical resection of the right posterior lobe of the liver, and could reduce intraoperative complications and comply with the principle of tumour-free. Thus, a strategy of anatomical right posterior lobe resection via cranial-dorsal approach might provide a feasible and effective option for right posterior lobectomy of the liver.
Citation:
ZHOU Shuai, WANG Zhenxing, LI Bo, ZHANG Jianquan. Laparoscopic right posterior lobectomy strategy through cranial-dorsal approach. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(7): 769-772. doi: 10.7507/1007-9424.202307006
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Zhang F, Xu Z, Sun D, et alA comprehensive framework of the right posterior section for tailored anatomical liver resection based on three-dimensional simulation systemAnn Transl Med20221016852. doi: 10.21037/atm-22-1105.
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Minami T, Ebata T, Yokoyama Y, et alStudy on the segmentation of the right posterior sector of the liverWorld J Surg2020443896901.
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Gotohda N, Cherqui D, Geller DA, et alExpert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resectionJ Hepatobiliary Pancreat Sci20222911632.
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Wakabayashi G, Cherqui D, Geller DA, et alThe Tokyo 2020 terminology of liver anatomy and resections: updates of the Brisbane 2000 systemJ Hepatobiliary Pancreat Sci2022291615.
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Kim JH, Jang JH, Cho BSPure laparoscopic hepatectomy for tumors close to the major hepatic veins: intraparenchymal identification of the major hepatic veins using the ventral approachWorld J Surg202145618971905.
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Yang C, Zhang R, Zhu L, et alCaudodorsal approach combined with in situ split for laparoscopic right posterior sectionectomySurg Endosc202337213341341.
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- 1. Pang YK. The Brisbane 2000 terminology of liver anatomy and resections. HPB 2000; 2: 333-39. HPB (Oxford), 2002, 4(2): 99 ; author reply 99-100. doi: 10.1080/136518202760378489.
- 2. Wakabayashi T, Benedetti Cacciaguerra A, Ciria R, et alLandmarks to identify segmental borders of the liver: a review prepared for PAM-HBP expert consensus meeting 2021J Hepatobiliary Pancreat Sci20222918298.
- 3. Goh BKP, Lee SY, Koh YX, et alMinimally invasive major hepatectomies: a Southeast Asian single institution contemporary experience with its first 120 consecutive casesANZ J Surg2020904553557.
- 4. Abu Hilal M, Aldrighetti L, Dagher I, et alThe Southampton consensus guidelines for laparoscopic liver surgery: from indication to implementationAnn Surg201826811118.
- 5. Ichida H, Imamura H, Yoshioka R, et alRe-evaluation of the Couinaud classification for segmental anatomy of the right liver, with particular attention to the relevance of cranio-caudal boundariesSurgery20211692333340.
- 6. Lee B, Cho JY, Han HS, et al. Too much or insufficient information for anatomical right posterior sectionectomy?. Ann Transl Med, 2022, 10(24): 1301. doi: 10.21037/atm-22-5587.
- 7. Zhang F, Xu Z, Sun D, et alA comprehensive framework of the right posterior section for tailored anatomical liver resection based on three-dimensional simulation systemAnn Transl Med20221016852. doi: 10.21037/atm-22-1105.
- 8. Minami T, Ebata T, Yokoyama Y, et alStudy on the segmentation of the right posterior sector of the liverWorld J Surg2020443896901.
- 9. Gotohda N, Cherqui D, Geller DA, et alExpert Consensus Guidelines: How to safely perform minimally invasive anatomic liver resectionJ Hepatobiliary Pancreat Sci20222911632.
- 10. Wakabayashi G, Cherqui D, Geller DA, et alThe Tokyo 2020 terminology of liver anatomy and resections: updates of the Brisbane 2000 systemJ Hepatobiliary Pancreat Sci2022291615.
- 11. Kim JH, Jang JH, Cho BSPure laparoscopic hepatectomy for tumors close to the major hepatic veins: intraparenchymal identification of the major hepatic veins using the ventral approachWorld J Surg202145618971905.
- 12. Yang C, Zhang R, Zhu L, et alCaudodorsal approach combined with in situ split for laparoscopic right posterior sectionectomySurg Endosc202337213341341.