Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, 666-2 Nitonachou, Chuouku, Chiba 260-8717, Japan.
Surg Endosc. 2011 Apr;25(4):1333-6. doi: 10.1007/s00464-010-1358-6. Epub 2010 Sep 25.
Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic liver resection, laparoscopic anatomical liver resection still presents major technical difficulties, such as pedicle control.
Subjects comprised 27 patients who underwent laparoscopic anatomical liver resection using an extrahepatic Glissonean pedicle transaction between August 2005 and February 2010.
A total of 61 Glissonean pedicles could be encircled en bloc extrahepatically, as planned. No serious complications, including major bleeding or injury of the portal triad, were encountered during procedures.
Extrahepatic Glissonean access seems to be feasible and safe for laparoscopic anatomical resection of the liver.
尽管最近的技术发展和改进的内镜手术进一步扩展了腹腔镜肝切除术的应用范围，但腹腔镜解剖性肝切除术仍然存在主要的技术难题，如肝蒂控制。
本研究纳入了 27 例 2005 年 8 月至 2010 年 2 月间采用肝外 Glissonean 蒂分步离断法行腹腔镜解剖性肝切除术的患者。
共 61 条 Glissonean 蒂可按计划整块肝外阻断。手术过程中未出现严重并发症，包括大出血或门静脉三联损伤。
肝外 Glissonean 入路对于腹腔镜解剖性肝切除似乎是可行且安全的。
