Open Right Hepatectomy
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Open Right Hepatectomy

The Open Right Hepatectomy course will teach you:

  • Open resection of the right 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 Right Hepatectomy:

  • Inferior vena cava damage
  • Central venous pressure increase
  • Bleeding from hepatic vein
  • Rotation of the liver
  • Hepatic congestion
  • Bile duct ischemia
  • Hemorrhage from right portal vein
  • Postoperative liver torsion

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

  • Tissue retraction facilitation
  • Dissection of adhesion on the inferior border of the liver
  • Adrenal gland dissection
  • Pringle maneuver facilitation
  • Common hepatic artery identification
  • Inflow control by encircling the right hepatic vein twice
  • Liver hanging maneuver
  • Parenchymal transection facilitation

After studying the Open Right 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 Left Hepatectomy

Step by step

Abdominal cavity approach

Skin

Mark

Mark the skin 2cm below the xiphoid process, and 2 fingerbreadths below the costal arch on both sides, extending further on the right side to facilitate the right hepatectomy.

Incise

Incise the skin along the previously made markings using the chevron incision.

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Do you want to learn the preoperative of "Open Right Hepatectomy"?

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Unlimited access to all 256 courses.

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Do you want to learn the postoperative of "Open Right Hepatectomy"?

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Unlimited access to all 256 courses.

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Unlimited access to all 256 courses.

20 per month Get started