Left hepatectomy.
Summary of "Left hepatectomy."
Left hepatectomy is one of the most common types of hepatectomy. In order to perform the procedure, surgeons need to possess all the basic skills for accomplishing any liver resection. The most important points to bear in mind in relation to left hepatectomy are: (1) a precise recognition of the surgical anatomy of the vascular structures of the liver, especially the bile duct, because of the wide anatomic variations; (2) recognition that the procedure consists of the following three parts: hilar dissection, mobilization of the left liver, and liver resection; (3) an understanding that these steps need to be accomplished with great care to control bleeding and to avoid injury to the vessels supplying the right hemiliver.
Affiliation
Department of Hepatobiliary Pancreatic Surgery, Shinshu University School of Medicine, Matsumoto, Japan, kbys@shinshu-u.ac.jp.
Journal Details
This article was published in the following journal.
Name: Journal of hepato-biliary-pancreatic sciences
ISSN: 1868-6982
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21976070
- DOI: http://dx.doi.org/10.1007/s00534-011-0452-z
Medical and Biotech [MESH] Definitions
Hepatectomy
Excision of all or part of the liver. (Dorland, 28th ed)
Heart Bypass, Left
Diversion of the flow of blood from the pulmonary veins directly to the aorta, avoiding the left atrium and the left ventricle (Dorland, 27th ed). This is a temporary procedure usually performed to assist other surgical procedures.
Tricuspid Atresia
Absence of the orifice between the RIGHT ATRIUM and RIGHT VENTRICLE, with the presence of an atrial defect through which all the systemic venous return reaches the left heart. As a result, there is left ventricular hypertrophy (HYPERTROPHY, LEFT VENTRICULAR) because the right ventricle is absent or not functional.
Ventricular Dysfunction, Left
A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.
Hypoplastic Left Heart Syndrome
A condition caused by underdevelopment of the whole left half of the heart. It is characterized by hypoplasia of the left cardiac chambers (HEART ATRIUM; HEART VENTRICLE), the AORTA, the AORTIC VALVE, and the MITRAL VALVE. Severe symptoms appear in early infancy when DUCTUS ARTERIOSUS closes.
PubMed Articles
Prevention of gastric stasis by omentum patching after living donor left hepatectomy.
Among 137 living liver donors who underwent partial hepatectomy between August 1997 and November 2010, 58 donated the left lobe of their liver, with or without the caudate lobe. Gastric stasis develop...
INTRODUCTION: Living donor hepatectomy is important because it determines donor safety and recipient outcome. METHODS: We applied the counter-clockwise liver rotation method and the hanging maneuver f...
Repeat Hepatectomy for Metastatic Colorectal Cancer Is Safe but Marginally Effective.
BACKGROUND: Although hepatectomy for metastatic colorectal cancer (mCRC) offers prolonged survival in up to 40% of people, recurrence rates are high, approaching 70%. Many patien...
Background/Aims: To detect the feasibility of using synchronous bile duct, left lobe of liver and common hepatic artery resection without reconstruction to improve the therapeutic efficacy of HC. Meth...
BACKGROUND: Surgical site infections (SSIs), particularly organ/space SSIs, remain a common cause of major morbidity after hepatectomy for hepatocellular carcinoma (HCC)....
Clinical Trials
Milrinone During Living Donor Hepatectomy
Maintaining a low central venous pressure during living donor hepatectomy is routine practice. The investigators tried to test the hypothesis that using milrinone to maintain a low central...
Alternative to Two-Stage Hepatectomy
Two-stage hepatectomy with or without portal vein embolization allows to treat multiple bilobar metastases expanding surgical indications for these patients. However, it has some related d...
Multimodality Therapy for Palliative Resectable Hepatocellular Carcinoma
The purpose of this study is to determine which multimodality therapy strategy (hepatectomy following transcatheter hepatic arterial chemoembolization or hepatectomy followed by transcathe...
PI-88 in Hepatocellular Carcinoma After Hepatectomy
The purpose of this study is to evaluate the efficacy of PI-88 to inhibit or reduce tumor recurrence in patients with hepatocellular carcinoma following hepatectomy.
Stapler Hepatectomy for Elective Liver Resection
There is clinical uncertainty and ongoing discussion among liver surgeons regarding the optimal method of parenchymal transection in patients undergoing elective hepatic resection. While t...
