ArticleLangenbeck's archives of surgery2020
Laparoscopic anatomical segmentectomy using the transfissural Glissonean approach.
Article in Langenbeck's archives of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Analysis of Essential Liver Anatomy for Anatomical Segmentectomy 8: A Proposal for the Hybrid Glissonean Approach.World journal of surgery · 2025Article
- Advantages of laparoscopic segmentectomy of the liver using ICG fluorescent navigation by the negative staining method: A comparison with open procedure.Annals of gastroenterological surgery · 2024Article
- ASO Author Reflections: Laparoscopic Anatomical Resection of Right Superior Segments via Anterior Transparenchymal Approach.Annals of surgical oncology · 2023Article
- Generic surgical process model for minimally invasive liver treatment methods.Scientific reports · 2022Article
- Laparoscopic Anatomical Segmentectomy in Tertiary Portal Pedicles with Variations and Deep Location Using the Transfissural Glissonean Approach (Video).Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
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Authors and funding
1 author.
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Abstract
backgroundAnatomical segmentectomy is a technically difficult procedure owing to the complexity of the segmental anatomy of the liver. In the conventional Glissonean approach from the liver hilum, the tertiary portal pedicles may be difficult to dissect because of their anatomical variations and deep location. We present a technique of purely laparoscopic anatomical segmentectomy of the liver using the transfissural Glissonean approach.
methodsWe performed purely laparoscopic anatomical segmentectomy using the transfissural Glissonean approach. This approach involved initially opening the liver parenchyma along the fissure line (main portal, right portal, and umbilical fissures). Thereafter, the target tertiary portal pedicles were approached and ligated within the liver parenchyma above the liver hilum.
resultsBetween August 2014 and September 2019, we performed 17 cases of laparoscopic anatomical segmentectomy using the transfissural Glissonean approach. The median operative time was 200 min (range 120-310 min), and the intraoperative blood loss was 80 mL (range 30-280 mL). The median postoperative hospital stay was 6 days (range 3-9 days). There was no major morbidity or mortality.
conclusionThe transfissural Glissonean approach in laparoscopic anatomical segmentectomy is technically feasible because opening the fissure allows direct access to the tertiary portal pedicles.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.