A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7
Abstract Background Laparoscopic access to liver segment 7 (S7) is difficult for deep surgical situations and bleeding control. Herein, our proposed laparoscopic technique for S7 lesions using a self-designed tube method is introduced. Methods Clinical data of patients who underwent laparoscopic ana...
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-023-03056-z |
| _version_ | 1827603518817566720 |
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| author | YongKun Li Ke Wu Jing Li Lu Zheng Nan You |
| author_facet | YongKun Li Ke Wu Jing Li Lu Zheng Nan You |
| author_sort | YongKun Li |
| collection | DOAJ |
| description | Abstract Background Laparoscopic access to liver segment 7 (S7) is difficult for deep surgical situations and bleeding control. Herein, our proposed laparoscopic technique for S7 lesions using a self-designed tube method is introduced. Methods Clinical data of patients who underwent laparoscopic anatomical liver resection of S7 (LALR-S7) with the help of our self-designed tube to improve the exposure of S7 and bleeding control in the Second Affiliated Hospital, Third Military Medical University (Army Medical University) from April 2019 to December 2021 were retrospectively analyzed to evaluate feasibility and safety. Results Nineteen patients were retrospectively reviewed. The mean age was 51.3 ± 10.3 years; mean operation time, 194.5 ± 22.7 min; median blood loss, 160.0 ml (150.0–205.0 ml); and median length of hospital stay, 8.0 days (7.0–9.0 days). There was no case conversion to open surgery. Postoperative pathology revealed all cases of hepatocellular carcinoma (HCC). Free surgical margins were achieved in all patients. No major postoperative complications were observed. Patients with postoperative complications recovered after conservative treatment. During outpatient follow-up examination, no other abnormality was presented. All patients survived without tumor recurrence. Conclusions The preliminary clinical effect of our method was safe, reproducible and effective for LALR-S7. Further research is needed due to some limitations of this study. |
| first_indexed | 2024-03-09T05:40:51Z |
| format | Article |
| id | doaj.art-0855ca9a79af4f2ab22162236536daae |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-03-09T05:40:51Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-0855ca9a79af4f2ab22162236536daae2023-12-03T12:24:45ZengBMCBMC Gastroenterology1471-230X2023-11-012311810.1186/s12876-023-03056-zA safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7YongKun Li0Ke Wu1Jing Li2Lu Zheng3Nan You4Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University)Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University)Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University)Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University)Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University)Abstract Background Laparoscopic access to liver segment 7 (S7) is difficult for deep surgical situations and bleeding control. Herein, our proposed laparoscopic technique for S7 lesions using a self-designed tube method is introduced. Methods Clinical data of patients who underwent laparoscopic anatomical liver resection of S7 (LALR-S7) with the help of our self-designed tube to improve the exposure of S7 and bleeding control in the Second Affiliated Hospital, Third Military Medical University (Army Medical University) from April 2019 to December 2021 were retrospectively analyzed to evaluate feasibility and safety. Results Nineteen patients were retrospectively reviewed. The mean age was 51.3 ± 10.3 years; mean operation time, 194.5 ± 22.7 min; median blood loss, 160.0 ml (150.0–205.0 ml); and median length of hospital stay, 8.0 days (7.0–9.0 days). There was no case conversion to open surgery. Postoperative pathology revealed all cases of hepatocellular carcinoma (HCC). Free surgical margins were achieved in all patients. No major postoperative complications were observed. Patients with postoperative complications recovered after conservative treatment. During outpatient follow-up examination, no other abnormality was presented. All patients survived without tumor recurrence. Conclusions The preliminary clinical effect of our method was safe, reproducible and effective for LALR-S7. Further research is needed due to some limitations of this study.https://doi.org/10.1186/s12876-023-03056-zLaparoscopic anatomical liver resectionSegment 7ExposurePringle maneuver |
| spellingShingle | YongKun Li Ke Wu Jing Li Lu Zheng Nan You A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7 BMC Gastroenterology Laparoscopic anatomical liver resection Segment 7 Exposure Pringle maneuver |
| title | A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7 |
| title_full | A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7 |
| title_fullStr | A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7 |
| title_full_unstemmed | A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7 |
| title_short | A safe and simple exposure and Pringle maneuver in laparoscopic anatomical liver resection of segment 7 |
| title_sort | safe and simple exposure and pringle maneuver in laparoscopic anatomical liver resection of segment 7 |
| topic | Laparoscopic anatomical liver resection Segment 7 Exposure Pringle maneuver |
| url | https://doi.org/10.1186/s12876-023-03056-z |
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