Download Laparoscopic Hepatectomy: Atlas and Techniques by Xiujun Cai PDF
By Xiujun Cai
This publication introduces laparoscopic surgical procedures in liver resection utilizing the means of curettage and aspiration. surgeries, strategies and precise tools are defined during this e-book. each one step is defined and illustrated with high quality figures, hand-drawings and movies. This atlas will function a step by step advisor for laparoscopic liver resection.
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It can execute all the functions at the same time that facilitates the manipulation of liver transection and can decrease the operating time by avoiding frequently changing instruments. By using this instrument, the liver parenchyma can be crashed and be aspirated immediately, and intrahepatic ducts and small vessels can be preserved and be safely dissected for ligation, and massive bleeding could be avoided by the meticulous dissection. 4 Instruments for Laparoscopic Hepatectomy by Curettage and Aspiration Instruments for Liver Mobilization For the mobilization of liver lobe in left hemihepatectomies, right hemihepatectomies and left lateral segmentectomies, the laparoscopic fan retractor or the laparoscopic liver retractor is used.
22 The secondary branch of portal vein is dissected Fig. 23 The secondary branch of portal vein is clamped with a nonabsorbable polymer clip 31 32 Fig. 24 The secondary branch of portal vein is transected Fig. 3 Laparoscopic Left Lateral Segmentectomy Fig. 26 The hepatic duct is transected with LPMOD Fig. 27 LHV is dissected with LPMOD 33 34 Fig. 28 LHV is clamped with clips Fig. 3 Laparoscopic Left Lateral Segmentectomy Fig. 30 After the left lateral segment was removed, the stump of the left hepatic duct (LHD) is sutured Fig.
Additionally, in the division of LCL or RCL, inferior phrenic veins should be taken care of to avoid bleeding (Fig. 15). 1 Perihepatic Ligaments Fig. 3 The HDL is exposed by the traction of RL with a forceps Fig. 4 HDL is exposed by the traction of GB with a forceps 3 4 Fig. 5 RL is visualized laparoscopically. It is being drawn by a curved dissecting forceps and is to be transected by LPMOD Fig. 1 Perihepatic Ligaments Fig. 7 HCL is visualized laparoscopically Fig. 8 The left lateral segment (LLS) is elevated with a curved dissecting forceps, and LO is exposed 5 6 Fig.