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
- Portal vein thrombosis
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Step by step
Abdominal cavity approach
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 the skin following the marking. The incision can be extended to the right lateral side if necessary.
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