The application of the extraglissonian approach for selective hepatic inflow occlusion during laparoscopic anatomical segmentectomy  

作　　者：Jiye Chen Jun Han Tao Yang Ming Su Shouwang Cai 

机构地区：[1]Faculty of Hepato-Pncreuto-Biliary Surgery:Chinese PLA General Hospital,Beijing 100853,China [2]Institute of Hepatobiliary Surgery of Chinese PLA,Betjing 100853,China [3]Key Laboratory of Digital Hepatobiliary Surgary of PLA,Bajing 100853,Chtna

出　　处：《Laparoscopic, Endoscopic and Robotic Surgery》2023年第4期160-166,共7页腔镜、内镜与机器人外科（英文）

基　　金：supported by a grant from the National Natural Science Foundation of China(No.82102861).

摘　　要：Objective:Laparoscopic anatomical hepatectomy has been proven to be achievable for segmentectomy,subsegmentectomy and multi-segmentectomy.The extraglissonian approach in the context of selective hepatic inflow ocdlusion has been skilled under laparoscopy.This study aims to examine the suitability of the technique stated above for laparoscopic anatomical hepatectomy.Methods:This retrospective study analyzed the dinical data of 114 patients diagnosed with hepatocel-lular carcinoma who underwent laparoscopic anatomical hepatectomy using the extraglissonian hepatic inflow occlusion technique at the Faculty of Hepato-Pancreato-Biliary Surgery,Chinese PLA General Hospital between September 2020 and December 2022.Results:The success rate of achieving the ischemic area using the described methods was determined to be 74.6%.Out of the 85 cases that underwent laparoscopic anatomical hepatectomy,34 cases involved segmentectomy,5 cases involved subsegmentectomy,and 46 cases involved multi-segmentectomy.The average duration of the operation,blood loss volume,and postoperative hospi-tal stay were 229.0±85.0 min,133.0±112.0 mL,and 5.4±1.7 d,res pectively.Notably,no intraoperative blood transfusions were necessary,and no postoperative complications were observed.Conclusion:The extraglissonian hepatic inflow occlusion technique exhibits a notable advantage in terms of a high success rate,effectively guiding the selection process during laparoscopic parenchymal tran-section.Moreover,this technique has demonstrated safety,reproducibility,and significant potential for broader clinical adoption.

关 键 词：Hepatocellular cardnoma Laparoscopic surgery Anatomical hepatectomy Extraglissonian approach 

分 类 号：R656[医药卫生—外科学]