Useful maneuvers for precise laparoscopic liver resection

Chanwat, Rawisak

doi:10.1111/ases.12494

Cited by 10 publications

(7 citation statements)

References 51 publications

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“…For laparoscopic selective Glissonian pedicle approach, owing to movement limitations of basic instruments, some special instruments are required, for instance, Goldfinger dissector (Johnson & Johnson, Le Locle, Switzerland), Endo Retract Maxi 10 mm (Covidien, Tokyo, Japan) and Endo Mini-Retract 5 mm (Covidien), etc. [ 5 ]. Among these, endo mini-retractor is the most available one and, moreover, its size is the most appropriate for encircling the second and third order pedicles.…”

Section: Discussionmentioning

confidence: 99%

“…Among these, endo mini-retractor is the most available one and, moreover, its size is the most appropriate for encircling the second and third order pedicles. Despite an aid of these special instruments, the dissection has to be performed blindly at the posterior side, leads to some injuries and bleeding [ 5 ]. Our technique could solve this issue, as it simply provides non-traumatic tunneling, because the softness of the urinary catheter makes the tip of the retractor blunt.…”

Section: Discussionmentioning

confidence: 99%

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Combining a small urinary catheter with an endo mini-retractor: a novel technique for laparoscopic selective vascular control

Luvira

Junyavoraluk

Tipwaratorn

2022

Journal of Surgical Case Reports

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The Pringle maneuver using a urinary catheter has been described and proven to be one of the best methods for laparoscopic intracorporeal vascular control. Selective vascular control provides many advantages over total inflow occlusion by the Pringle maneuver. However, laparoscopic selective vascular control by urinary catheter has not been described. We, herein, describe laparoscopic selective vascular control using a combined small urinary catheter with an endo mini-retractor, which inserted in a new way, named ‘The J-shaped Loop’. This method makes the instrument more compact so we can selectively control the vascular pedicle. When selective vascular occlusion is desired, the loop is tightened and the tension is held just by the catheter itself. This novel technique is simple, safe, effective and reproducible, and, therefore, can be used as a good alternative to other intracorporeal techniques for laparoscopic liver resection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Combining a small urinary catheter with an endo mini-retractor: a novel technique for laparoscopic selective vascular control

Luvira

Junyavoraluk

Tipwaratorn

2022

Journal of Surgical Case Reports

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“…It is difficult to fully grasp the anatomical relationship between the lesion and the vessel, as well as the amount of pre-resected liver and the resection boundary, and it is impossible to develop the optimal surgical plan. Therefore, traditional hepatectomy may increase the possibility of vascular and bile duct damage to patients, and increase the incidence of surgical complications in patients (6,19,20). Precise liver resection is a surgical plan based on precise preoperative assessments for different cases, and is combined with new technologies (2,5).…”

Section: Discussionmentioning

confidence: 99%

Short-term efficacy of precise hepatectomy and traditional hepatectomy for primary liver cancer: a systematic review and meta-analysis

Niu¹,

Liu²,

Feng³

et al. 2021

J Gastrointest Oncol

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Background: As the base of hepatitis B patients has been increasing annually, it has developed into a high incidence source of primary liver cancer worldwide. The fatality rate of liver cancer is still relatively high. Among the many treatment methods, liver resection is the first-line treatment of primary liver cancer.Although precision hepatectomy has achieved rapid development in recent years, the understanding of its efficacy is still not completely clear. This study aimed to analyze and compare the safety and effectiveness of precision hepatectomy and traditional hepatectomy in the treatment of primary liver cancer. Methods: We performed a literature search of the CNKI, Wanfang, Weipu.com, PubMed, Cochrane Library, Web of Science databases for studies on precision liver resection (precision group) and traditional liver resection (traditional group) for the treatment of primary liver cancer. Data including the operation time, intraoperative blood loss, hospital stay, postoperative complications, liver function, and survival rate were analyzed using RevMan 5.3 software to compare the differences in the effects of the two surgical procedures. Results: Ten articles were included in the study, involving a total of 1,969 patients, including 1,045 cases in the precision group and 924 cases in the traditional group. Meta-analysis results showed that compared with the traditional group, the precision group had a longer operation time [mean difference (MD) =8.01, P=0.004], and total bilirubin (TBiL; MD =-2.78, P=0.055) was similar. Meanwhile, the precision group exhibited advantages in terms of intraoperative blood loss (MD =-149.37, P=0.000), hospital stay (MD =-5.59, P=0.000), postoperative liver function indexes [aspartate aminotransferase (AST; MD =-11.61, P=0.000) and alanine aminotransferase (ALT; MD =-18.53, P=0.000)], postoperative complication rate [relative risk (RR) =0.51, P=0.000], and 1-year survival rate (RR =1.11, P=0.000).Discussion: The application of precision surgery in the treatment of primary liver cancer can be a safe and effective method. It can minimize intraoperative blood loss, mitigate surgical risk, reduce postoperative complications, improve patient prognosis and quality of life, and provide better short-term curative effect and patient benefits.

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“…LLR was first introduced in 1992 and is increasingly used due to new technologies and devices [7]. Compared to open liver resection, LLR has several advantages including decreased blood loss, shorter hospital stay, and improved cosmetic results.…”

Section: Discussionmentioning

confidence: 99%

Pure laparoscopic liver resection for giant liver hemangioma with extrahepatic growth based on preoperative 3-dimensional simulation: A case report

et al. 2019

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Background Performing laparoscopic liver resection for giant hemangiomas is challenging, and careful preoperative planning is essential. Controlling intraoperative bleeding and handling surgical instruments within a limited workspace is necessary. Case presentation In the present case, the patient was a 38-year-old woman diagnosed with a 16-cm giant liver hemangioma in segment 5/6, with extrahepatic growth. Preoperative three-dimensional simulations for port placement and the laparoscopic view from the left upper abdomen were performed to complete the pure laparoscopic liver resection. The laparoscopic resection was then safely performed on the same way. Conclusions Pure laparoscopic resection could be applied to giant hemangiomas with extrahepatic growth, and the preoperative three-dimensional simulation of port placement and the laparoscopic view might be helpful when the intraabdominal workplace is restricted. Electronic supplementary material The online version of this article (10.1186/s40792-019-0607-8) contains supplementary material, which is available to authorized users.

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Useful maneuvers for precise laparoscopic liver resection

Cited by 10 publications

References 51 publications

Combining a small urinary catheter with an endo mini-retractor: a novel technique for laparoscopic selective vascular control

Combining a small urinary catheter with an endo mini-retractor: a novel technique for laparoscopic selective vascular control

Short-term efficacy of precise hepatectomy and traditional hepatectomy for primary liver cancer: a systematic review and meta-analysis

Pure laparoscopic liver resection for giant liver hemangioma with extrahepatic growth based on preoperative 3-dimensional simulation: A case report

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