Zmodyfikowana laparoskopowa hepatektomia anatomiczna: technika dwóch chirurgów w połączeniu z prostym pozaustrojowym manewrem Pringle'a

Overview

This article presents a protocol for a modified laparoscopic anatomic hepatectomy, utilizing advanced techniques and instruments. The procedure is demonstrated in a video format, showcasing its application in a clinical setting.

Key Study Components

Area of Science

• Surgery
• Hepatology
• Oncology

Background

• The patient is a 54-year-old female with a liver mass.
• She has an elevated serum AFP level of 104 ng/mL.
• Imaging indicated a tumor in the liver segments S5 and S8.
• The diagnosis was primary hepatocellular carcinoma.

Purpose of Study

• To demonstrate a modified surgical technique for hepatectomy.
• To improve surgical outcomes using advanced instruments.
• To provide a comprehensive video protocol for educational purposes.

Methods Used

• Combination of CUSA and ultrasonic dissector.
• Two-surgeon technique for enhanced precision.
• Modified extracorporeal Pringle maneuver.
• Low central venous pressure technique to minimize blood loss.

Main Results

• The protocol was successfully implemented in the surgical procedure.
• Patient consent was obtained prior to surgery.
• The technique demonstrated effective tumor removal.
• Normal cardiopulmonary function was confirmed preoperatively.

Conclusions

• The modified laparoscopic technique is feasible and effective.
• Utilizing advanced instruments can enhance surgical precision.
• This protocol serves as a valuable resource for surgical education.

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