Transparenchymal retraction maneuver: a simple technique in laparoscopic hepatectomy.
The performance of laparoscopic hepatectomy still presents technical problems. One of the main difficulties is the impossibility of directly grasping the liver during resection. To overcome this problem, we have begun using transparenchymal suture traction in laparoscopic hepatectomy. From January 2000 through August 2001, eight laparoscopic hepatectomies were performed using suture traction during parenchymal resection. The advantages of this technique include no leakage of pneumoperitoneum, no increased trocar hole, ability to repeat application to the liver from various directions, and better exposure of the transected line.
Hsieh
Ching-Shui
CS
Department of Surgery, Changhua Christian Hospital, Taiwan.
Chen
Yao-Li
YL
Yang
Li-Heng
LH
Chan
Szu-Erh
SE
Chang
Hung-Chi
HC
Chen
Shou-Tung
ST
Kuo
Shou-Jen
SJ
D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D013536:Suture Techniques