Glissonean Pedicle
Glissonean Pedicle - Related Videos
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
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2025
This protocol presents a novel coronoid-temporalis pedicled flap (CTPF) technique for reconstructing small-to-medium orbital floor defects. CTPF avoids microvascular risks while maintaining biomechanical stability. Clinical cases demonstrate effective structural restoration, reduced complications, and preserved facial symmetry, offering a viable alternative to traditional grafts or alloplastic materials.
03:23
Laparoscopic Anatomical Right Anterior Sectionectomy with a Hepatic Pedicle-first Approach: Technical Details and Representative Case Illustration
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2025
This article aims to present a novel Laennec's capsule-guided laparoscopic approach for right anterior sectionectomy, highlighting its potential to improve safety, precision, and reproducibility in complex liver resections.
06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
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Cited by 8 •
2020
This article presents a standardized surgical technique for robotic-assisted pedicle screw placement by using robotic-assisted navigational systems. We present a step-by-step protocol and describe the workflow and precautions of this procedure.
06:00
Laparoscopic Anatomic S7+S8d Resection Preserving Inferior Right Hepatic Vein and S6 with Right Hepatic Vein Transection
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2025
We present a laparoscopic technique for anatomic S7+S8d resection with right hepatic vein transection, preserving the inferior right hepatic vein and segment S6. Relying on meticulous anatomical landmarks without intraoperative ultrasound, this approach offers a precise and parenchyma-sparing option for dorsally located right-liver tumors, particularly in settings with limited advanced navigation resources.
06:18
Pedicle Screw Placement Using an Augmented Reality Head-Mounted Display in a Porcine Model
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2024
The augmented reality head-mounted display, Magic Leap, was used in combination with a conventional navigation system to place pedicle screws in a porcine model by adhering to a novel workflow. With a median insertion time of <2.5 min, submillimeter technical accuracy and 100% clinical accuracy were achieved according to Gertzbein.
FAQs
Selective clamping of a chosen Glissonean pedicle interrupts inflow through the portal vein and hepatic artery branches serving its territory. Because the affected region becomes ischemic while adjacent liver remains perfused, a visible boundary can develop between planned and preserved tissue. This demarcation helps align the resection with segmental anatomy rather than relying only on tumor appearance.
The bundled arrangement matters because the portal vein, hepatic artery, and bile duct branches correspond to the same defined liver territory. Managing them as a pedicle links vascular inflow control with the anatomical unit being considered for removal. In cancer research, this relationship helps connect vascular anatomy, segmental tissue boundaries, and the design of anatomically directed hepatectomy studies.
Anatomical targeting can limit removal to the tumor-bearing segment or sector instead of requiring broader excision of surrounding liver. By defining the relevant territory through its pedicle, surgeons can plan a more precise resection while retaining uninvolved functional parenchyma. This balance is important in liver cancer because tissue preservation and control of blood loss both influence the surgical approach.
At a conceptual level, the workflow begins by identifying the pedicle associated with the intended liver territory, then isolating it and temporarily clamping or ligating it. The resulting ischemic demarcation line provides an intraoperative guide for removing the planned anatomical region. This sequence connects vascular control with the resection plan while supporting preservation of uninvolved functional parenchyma.
By mapping tumors against defined pedicle territories, investigators can examine how tumor location relates to liver segments or sectors supplied by specific portal, arterial, and bile duct branches. This anatomical framework supports research that compares tumor distribution with planned resection units. It therefore adds spatial structure to studies of segmental spread and to analyses of surgical planning in liver cancer.
Studies can evaluate whether anatomically guided resection removes the intended tumor-bearing territory while preserving more functional liver tissue. They can also examine how selective inflow control contributes to blood-loss management and how these factors relate to outcomes after hepatectomy. Together, these measures connect operative anatomy with the effectiveness and consequences of cancer-focused liver surgery.