Laparoskopowa anatomiczna resekcja S7+S8d zachowująca dolną prawą żyłę wątrobową oraz S6 z przecięciem prawej żyły wątrobowej

Overview

This study presents a laparoscopic technique for anatomic S7+S8d resection with right hepatic vein transection, focusing on preserving the inferior right hepatic vein and segment S6. The method relies on anatomical landmarks, providing a precise and parenchyma-sparing option for dorsally located right-liver tumors in resource-limited settings.

Key Study Components

Area of Science

• Surgical Techniques
• Hepatic Surgery
• Resource-Limited Settings

Background

• Complex liver tumors pose significant surgical challenges.
• Advanced navigation technology may not be available in all settings.
• Precise resection is critical for successful outcomes.
• Anatomical landmarks can guide surgery effectively.

Purpose of Study

• To develop accessible surgical techniques for liver tumors.
• To perform precise resections without advanced navigation.
• To enhance surgical outcomes in resource-limited environments.

Methods Used

• Division of round and falciform ligaments using a monopolar energy device.
• Dissection of the second hilum to expose the caval fossa.
• Prepositioning of the Pringle maneuver tourniquet with a catheter.
• Mobilization of the right liver to expose the inferior vena cava.

Main Results

• The technique allows for precise resection of complex tumors.
• Preservation of critical vascular structures is achieved.
• Enhanced visibility and anatomical understanding are key to success.
• This approach is viable in settings with limited resources.

Conclusions

• The laparoscopic technique is effective for liver tumor resection.
• Utilizing anatomical landmarks can improve surgical precision.
• This method can be adapted for various clinical settings.

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