Reducing invasiveness in liver surgery-where is the limit?  

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作  者:Ivan Romic Ivan Separovic Dora Grgic Igor Petrovic Josip Mavrek Hrvoje Silovski 

机构地区:[1]Department of Surgery,University Hospital Centre Zagreb,Zagreb 10000,Croatia [2]Department of Gastroenterology and Hepatology,University Hospital Centre Zagreb,Zagreb 10000,Croatia [3]Department of Hepatobiliary Surgery and Transplantation,University Hospital Center Zagreb,Zagreb 10000,Croatia

出  处:《World Journal of Gastrointestinal Surgery》2025年第2期316-319,共4页世界胃肠外科杂志(英文)

摘  要:In this article,we comment on the article by Wang et al published in the recent issue of the World Journal of Gastroenterology Surgery.Most prominent advancements in liver surgery in the last two decades are related to refinements in surgical technique(extraglissonean approach)and advancements in surgical technology(laparoscopy and robotics).In this article,authors present both these aspects:Laparoscopic segmentectomy using extraglissonean approach.Furthermore,they describe segmental resections of all 8 segments which is the main novelty that can be observed in the article.By now,extraglissonean approach was thoroughly described mainly in hepatectomies or lateral sectionectomies.Various“hilar gates”are defined which allows safe liver resection by ligating Glissonean pedicles first which is then followed by parenchymal resection.We here focus on past,present and future perspectives of extraglissonean approach and laparoscopic liver resections and comment the value of the presented article.

关 键 词:Liver resection LAPAROSCOPY Glissonean approach SEGMENTECTOMY 

分 类 号:R657.3[医药卫生—外科学]

 

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