[Direct clamping of the right lateral pedicle of Glisson's capsule. Anatomicosurgical study in a case of hepatocaval injury].
A patient with hepatocaval injuries was treated successfully by direct suprahepatocaval hemostasis, and right lateral sectoriectomy after elective extrafascial clamping of Glisson's capsule. Anatomical conditions favorable for clamping were assessed from data in the published literature, and a personal series in which this technique was employed. A Gans' incision of at least 20 mm in length conditions the possibility of direct control of the right lateral pedicle, and was performed in 65 to 80 p. cent of cases. The proximal part of the incision reveals only the anterior border of the lateral pedicle where as the distal portion uncovers the first important right anterior pedicle of the segment VI, this being observed most frequently. At this level, extrafascial isolation of the lateral pedicle is usually rapid and precise (approximately 70 p. cent of cases). Adaptation of treatment of lesions of the homonymous sector is then possible under controlled surgical conditions of comfort and safety.
D000328:Adult; D003250:Constriction; D000071938:Fasciotomy; D006489:Hemostatic Techniques; D006498:Hepatectomy / Q000379:methods; D006503:Hepatic Veins / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008099:Liver / Q000033:anatomy & histology; D008297:Male; D014682:Vena Cava, Inferior / Q000293:injuries* / Q000601:surgery
Clampage direct du pédicule glissonien latéral droit. Etude anatomo-chirurgicale à propos d'un cas de traumatisme hépato-cave.