Open Left Hepatectomy
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Open Left Hepatectomy

The Open Left Hepatectomy course will teach you:

  • Open resect the left halve of the liver in order to treat malignant hepatic disease with 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 Open Left Hepatectomy:

  • Accessory left hepatic artery and phrenic vessels injury
  • Common hepatic bile duct injury
  • Hepatic artery injury
  • Drainage segment VIII by middle hepatic vein

With the following tips you might perform the Open Left Hepatectomy even better:

  • Usage of intraoperative ultrasound to identify undetected lesions and vascular or biliary anomalies
  • Prevention of bleeding from the triangular ligament
  • Pringle maneuver
  • Fundus first or fundus last cholecystectomy
  • Encircling the vessels in the hepatoduodenal ligament
  • Liver hanging maneuver

After studying the Open Left Hepatectomy 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 Hepaticojejunostomy

Step by step

Abdominal cavity approach

Abdominal wall layers

Incise

For adequate exposure, the Chevron or the midline incision can be used. For a more detailed elaboration of this, refer to the courses ‘Abdominal Wall Incision – Midline‘ and ‘ Abdominal Wall Incision – Chevron‘.

Operating table adjustment

The hepatectomy is preferably performed in a flex and reflex position, or with a cushion underneath the patient’s back, to increase the exposure of the liver.

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