By Xiujun Cai
This e-book introduces laparoscopic surgical procedures in liver resection utilizing the means of curettage and aspiration. surgeries, innovations and distinctive tools are defined during this booklet. every one step is defined and illustrated with top of the range figures, hand-drawings and video clips. This atlas will function a step by step consultant for laparoscopic liver resection.
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Additional resources for Laparoscopic Hepatectomy: Atlas and Techniques
11 The branch of left hepatic artery is divided 25 26 Fig. 12 Vessels in the FLT are dissected with LPMOD Fig. 3 Laparoscopic Left Lateral Segmentectomy Fig. 14 The secondary branch of portal vein is clamped with a nonabsorbable polymer clip Fig. 15 The secondary branch of portal vein is divided 27 28 Fig. 16 Another secondary branch of portal vein is visualized after the previous one was divided Fig. 3 Laparoscopic Left Lateral Segmentectomy Fig. 18 The secondary branch of portal vein is clamped with a nonabsorbable polymer clip 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. 9 The left lobe (LL) of the liver is mobilized to the right and LTL is visualized Fig. 1 Perihepatic Ligaments Fig. 11 After FL was divided, the left lobe of the liver is pressed downward with two pairs of forceps, and LCL is exposed for the division Fig. 12 The RLL is elevated and HRL is exposed, and then HRL should be divided 7 8 Fig. 13 RLL is mobilized to the left after HCL and HRL was divided.
A) Biliary system; (B) Portal vein system and hepatic artery system; (C) Hepatic vein system C B A X. 1 Perihepatic Ligaments The observation port is usually located infraumbilically or supraumbilically, and the liver is observed and manipulated from the middle abdomen (Fig. 2). The hepatoduodenal ligament (HDL) can be exposed by mobilizing the liver upward by the traction of the round ligament (RL) or/and the gallbladder (GB) (Figs. 4). The RL (Fig. 5), the falciform ligament (FL) (Fig. 6), and the hepatocolic ligament (HCL) (Fig.