The surgical techniques currently practised in SGH are closely aligned with those of the evidence-based guidelines. Peritoneal closure appears to be associated with the surgeon's early training, with a greater number of senior surgeons being less willing to abandon this step. Greater vigilance in implementing appropriate thromboprophylaxis is recommended.
received 6 cycles of FOLFOX as neoadjuvant chemotherapy. The right lobe was mobilized, and the tumor in S8 was approached. A 5 mm balloon port was placed in the 6th intercostal space to approach the lesion perpendicularly. For the left hepatectomy, glissonian pedicle approach was applied to control vascular inflow. Dissection was performed at the bifurcation of the right and left glissonian pedicles. A tunnel was created below the left glissonian sheath, and a vessel loop was applied. An endovascular stapler was inserted and fired to divide the left glissonian pedicle en-bloc. Hepatic parenchymal dissection was performed by Harmonic scalpel. The left hepatic vein was divided via endoscopic vascular stapler. The specimens were removed from a hand port. Results: The operative time was 290 min. Blood loss was 250 ml and no blood transfusion was required. He resumed a regular diet the next day and was discharged on POD 4. Conclusion: An intercostal approach is effective for subphrenic liver tumors, and the glissonian pedicle approach is useful for laparoscopic major lobectomy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.