ArticleAnnals of surgical oncology2022
Pure Laparoscopic Right Upper Transversal Hepatectomy.
Article in Annals of surgical oncology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 9 citations in OpenAlex.
- Segments 4, 7, and 8 liver resection: A case report.Annals of hepato-biliary-pancreatic surgery · 2024Article
- ASO Author Reflections: Laparoscopic Anatomic Sectionectomy: Resection Area Selection and Delineation of Resection Boundary.Annals of surgical oncology · 2024Article
- Laparoscopic Anatomic Bi-segmentectomy (S5 and S6) Using Takasaki's Approach and Indocyanine Green Fluorescence Navigation.Annals of surgical oncology · 2024Article
- Robotic versus laparoscopic major hepatectomy for hepatocellular carcinoma: short-term outcomes from a single institution.BMC surgery · 2022Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFirst proposed by Torzilli et al.,
methodsA 36-year-old female with HBV-related hepatocellular carcinoma (HCC) was admitted to our institution. Abdominal CT showed a 5.5- × 5.0-cm mass located in deep S7-8 with involvement of middle hepatic vein (MHV) and right hepatic vein (RHV). Extended right hepatectomy was not adopted because of the insufficient volume of residual liver. Moreover, a thick inferior right hepatic vein (IRHV) and two communicating veins (CVs) were observed by preoperative 3-D reconstruction. Thus, laparoscopic RUTH was performed.
resultsAfter fully mobilization of right liver, the RHV and MHV were isolated and encircled. Then, intraoperative ultrasound was used to locate the tumor and identify the tumor-bearing portal territories. Subsequently, parenchymal transection was performed using the Harmonic. The Pringle's maneuver was used intermittently during transection as necessary (total Pringle time was 62 min). Four tumor-bearing portal pedicles were all confirmed and divided with the guidance of intraoperative ultrasound. The MHV and RHV were transected using the stapler and the IRHV was well preserved. Finally, the operation was finished and the color of residual liver was acceptable. The operative time was 240 min and estimated blood loss was 100 cc. The postoperative course was uneventful and the patient was discharged on postoperative Day 6.
conclusionsLaparoscopic RUTH is technically feasible and safe in selected patients with IRHV and CVs.
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