Naito Shigetoshi, Fujikawa Takahisa, Kajiwara Masatoshi, Hasegawa Suguru
Gastroenterological Surgery, Fukuoka University Hospital, Fukuoka, JPN.
Surgery, Kokura Memorial Hospital, Kitakyushu, JPN.
Cureus. 2023 Apr 20;15(4):e37865. doi: 10.7759/cureus.37865. eCollection 2023 Apr.
Anatomical liver resection and liver resection close to major blood vessels are quite challenging and require a high level of expertise. In addition, anatomical hepatectomy requires extensive knowledge of the positions of blood vessels and techniques for hemostasis because the resection surface is extensive and operations around blood vessels are required. A hepatic vein-guided cranial and hilar approach using a modified "two-surgeon technique" is effective in resolving these problems. Herein, we present a middle hepatic vein (MHV)-guided cranial and hilar approach using a modified two-surgeon technique in laparoscopic extended left medial sectionectomy to resolve these problems. This procedure is feasible and effective.
解剖性肝切除以及靠近主要血管的肝切除极具挑战性，需要高水平的专业技能。此外，解剖性肝切除术需要对血管位置和止血技术有广泛的了解，因为切除面广泛，且需要在血管周围进行操作。采用改良的“双术者技术”的肝静脉引导头侧和肝门入路在解决这些问题方面是有效的。在此，我们介绍一种在腹腔镜扩大左内侧段切除术中采用改良双术者技术的肝中静脉（MHV）引导头侧和肝门入路，以解决这些问题。该手术可行且有效。
