Simplified hilar division in controlled right hepatectomy.
Right hepatectomy with preliminary vascular control at the hepatic hilus could be performed not by the method of dividing the structures in the hepatoduodenal ligament separately but instead by simultaneously employing both the hemihepatic vascular control method and the ultrasonic dissector. When applying the tape around the first portal pedicle, the anterior and posterior portal pedicles are easily exposed by using the ultrasonic dissector and, thereafter, ligated and cut; by utilizing this simplified hilar division, hemostasis of the right hepatic lobe can be achieved.
Matsumata
T
T
Second Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Kanematsu
T
T
Yamagata
M
M
Utsunomiya
T
T
Yanaga
K
K
Sugimachi
K
K
D006498:Hepatectomy / Q000379:methods*; D006801:Humans