Left hepatectomy accompanied by a resection of the whole caudate lobe using the dorsally fixed liver-hanging maneuver.
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概要
- 論文の詳細を見る
A resection of the caudate lobe often needs to be combined with a hemi-hepatectomy for hilar cholangiocarcinoma or a liver tumor in segment 1. To achieve complete resection of the whole caudate lobe, the cut line between the right edge of the paracaval portion and the right lateral sector should be precisely controlled. The liver-hanging maneuver (LHM) is a useful anterior approach that does not require mobilization of the remnant liver. However, the precise set-up of the cut line of the right edge has not been optimized in previous reports. We herein introduce a new modification of LHM that we named the "dorsally fixed liver-hanging maneuver" (DF-LHM) based on the results in five patients who underwent left hepatectomy combined with a total resection of segment 1. This technique provided adequate cut planes along the right edge of the caudate lobe, shortening the transection time and reducing intraoperative blood loss. The DF-LHM may represent a new key technique for this type of hepatectomy, and further applications for other anatomical resections can be modeled on the strategy.
- Springer Verlagの論文
- 2011-03-01
著者
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Nagayasu Takeshi
長崎大学 大学院腫瘍外科
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Nagayasu Takeshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Nagayasu Takeshi
長崎大学 医学部第二内科
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Nagayasu Takeshi
長崎大学 医歯薬学総合研究科腫瘍外科
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Abo Takafumi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Tamaru Naoe
Department Of Pathology Nagasaki University Hospital
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Nagayasu Takeshi
Division Of Surgical Oncology Nagasaki University Graduate School
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Sawai T
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Sawai Terumitsu
First Department Of Surgery Nagasaki University School Of Medicine
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Nakashima Atsushi
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Sawai Terumitsu
Division Of Surgical Oncology Department Of Translational Medical Sciences Nagasaki University Gradu
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Nanashima Atsushi
Division Of Surgical Oncology And Department Of Surgery Nagasaki University Hospital
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TOBINAGA SYUUICHI
Division of Surgical Ontology, Nagasaki University Graduate School of Biomedical Sciences
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Nagayasu Takeshi
Department Of Pathology Nagasaki University Graduate School Of Biomedical Sciences
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Tobinaga Syuuichi
Division Of Surgical Ontology Nagasaki University Graduate School Of Biomedical Sciences
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Nakamura Akihiro
Division Of Surgical Oncology Nagasaki University Graduate School Of Biomedical Sciences
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Nagayasu Takeshi
Division Of Surgical Oncology Department Of Surgery Nagasaki University Graduate School Of Biomedica
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Nakamura Akihiro
Division Of Surgical Oncology Nagasaki University Graduate School
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Nagayasu Takeshi
Division Of Surgical Ontology Nagasaki University Graduate School Of Biomedical Sciences
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Nagayasu Takeshi
Department Of First Surgery Nagasaki University Graduate School Of Biomedical Sciences
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Nagayasu Takeshi
長崎大学 大学院医歯薬学総合研究科腫瘍外科第1外科
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NAGAYASU Takeshi
Division of Surgical Oncology and Department of Surgery, Nagasaki University Hospital
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SAWAI Terumitsu
Division of Surgical Oncology and Department of Surgery, Nagasaki University Hospital
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