All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques
Liver surgery is highly demanding for anatomical, physiological and technical reasons, and minimally invasive approaches have been implemented at a slower rate. Today, laparoscopic liver resection is a standard of care in many occasions, yet specific operations remain particularly challenging and ge...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2022-04-01
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Series: | Frontiers in Oncology |
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Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.864867/full |
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author | Alessandro Anselmo Bruno Sensi Giulia Bacchiocchi Leandro Siragusa Giuseppe Tisone |
author_facet | Alessandro Anselmo Bruno Sensi Giulia Bacchiocchi Leandro Siragusa Giuseppe Tisone |
author_sort | Alessandro Anselmo |
collection | DOAJ |
description | Liver surgery is highly demanding for anatomical, physiological and technical reasons, and minimally invasive approaches have been implemented at a slower rate. Today, laparoscopic liver resection is a standard of care in many occasions, yet specific operations remain particularly challenging and generally performed in open surgery. In particular, SVIII resection may be considered one of the most difficult due to anatomical characteristics including its sub-diaphragmatic position, the deep-lying Glissonean pedicle and the close contact with the inferior vena cava and right and middle hepatic veins. Many techniques have risen to overcome technical difficulties, and today laparoscopic SVIII resection has been demonstrated to be feasible. This review provides a complete picture of current approaches, focusing on all techniques reported so far with critical appraisal of each, discussing and explaining benefits and pitfalls. |
first_indexed | 2024-12-18T02:48:38Z |
format | Article |
id | doaj.art-6990f8f044584de9afccfdb823f7f1d5 |
institution | Directory Open Access Journal |
issn | 2234-943X |
language | English |
last_indexed | 2024-12-18T02:48:38Z |
publishDate | 2022-04-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Oncology |
spelling | doaj.art-6990f8f044584de9afccfdb823f7f1d52022-12-21T21:23:31ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-04-011210.3389/fonc.2022.864867864867All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical TechniquesAlessandro AnselmoBruno SensiGiulia BacchiocchiLeandro SiragusaGiuseppe TisoneLiver surgery is highly demanding for anatomical, physiological and technical reasons, and minimally invasive approaches have been implemented at a slower rate. Today, laparoscopic liver resection is a standard of care in many occasions, yet specific operations remain particularly challenging and generally performed in open surgery. In particular, SVIII resection may be considered one of the most difficult due to anatomical characteristics including its sub-diaphragmatic position, the deep-lying Glissonean pedicle and the close contact with the inferior vena cava and right and middle hepatic veins. Many techniques have risen to overcome technical difficulties, and today laparoscopic SVIII resection has been demonstrated to be feasible. This review provides a complete picture of current approaches, focusing on all techniques reported so far with critical appraisal of each, discussing and explaining benefits and pitfalls.https://www.frontiersin.org/articles/10.3389/fonc.2022.864867/fullsegment VIIIhepatobiliary surgerylaparoscopic liver resection (LLR)liver anatomyhepatocarcinoma (HCC)liver cancer (LC) |
spellingShingle | Alessandro Anselmo Bruno Sensi Giulia Bacchiocchi Leandro Siragusa Giuseppe Tisone All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques Frontiers in Oncology segment VIII hepatobiliary surgery laparoscopic liver resection (LLR) liver anatomy hepatocarcinoma (HCC) liver cancer (LC) |
title | All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques |
title_full | All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques |
title_fullStr | All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques |
title_full_unstemmed | All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques |
title_short | All the Routes for Laparoscopic Liver Segment VIII Resection: A Comprehensive Review of Surgical Techniques |
title_sort | all the routes for laparoscopic liver segment viii resection a comprehensive review of surgical techniques |
topic | segment VIII hepatobiliary surgery laparoscopic liver resection (LLR) liver anatomy hepatocarcinoma (HCC) liver cancer (LC) |
url | https://www.frontiersin.org/articles/10.3389/fonc.2022.864867/full |
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