Left Lateral Liver Segmentectomy
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Left Lateral Liver Segmentectomy

The Left Lateral Liver Segmentectomy course will teach you:

  • Open resection of the left lateral segment of the liver with tumor negative resection margins, while preserving enough liver volume for acceptable postoperative liver function.

Special attention is paid to the following hazards you may encounter during the Left Lateral Liver Segmentectomy:

  • Distance from costal arch
  • Superior epigastric vessels injury
  • Accessory left hepatic artery and phrenic vessels injury

With the following tips you might perform the Left Lateral Liver Segmentectomy even better:

  • Intraoperative ultrasound usage to identify undetected lesions and vascular or biliary anomalies
  • Ligation of the triangular ligament
  • Pringle maneuver
  • Demarcation of segment II and III
  • Identification of the left hepatic vein
  • Achieving hemostasis at the liver resection plane

The following anatomical variations are described in the Left Lateral Liver Segmentectomy course:

  • Vascular anomalies of the left and middle hepatic vein

After studying the Left Lateral Liver Segmentectomy course you are familiar with the most common complications:

  • Post hepatectomy liver failure
  • Bile leakage
  • Ascites
  • Portal vein thrombosis

You might also be interested in:

Open Left Hepatectomy

Step by step

Abdominal cavity approach

Skin

Mark

Mark the skin in a curvilinear fashion, starting left lateral and extending to right paramedian, at least 2.5 cm below the costal arch.

Incise

Incise the skin following the marking. The incision can be extended to the right lateral side if necessary.

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