Laparoscopic right hepatectomy with selective vascular exclusion.
BACKGROUND
Laparoscopic right hepatectomy remains a challenge for liver surgeons. This video illustrates, step by step, a standardized technique for laparoscopic right hepatectomy with selective vascular exclusion.


METHODS
The main steps of this totally laparoscopic technique are: extraparenchymal control of vascular inflow, extraparenchymal division of the right hepatic duct, complete mobilization of the right liver, control and division of the right hepatic vein, and parenchymal transection.


RESULTS
The duration of surgery was 280 min, and the blood loss was 100 ml. The postoperative period was uneventful, and the length of stay was 7 days.


CONCLUSIONS
This technique has been proven to be safe and easily reproducible in hands of surgeons with expertise in both liver and laparoscopic surgery.
Dagher
Ibrahim
I
Department of Surgery, Antoine Béclère Hospital, 157 rue de la Porte de Trivaux, 92141, Clamart cedex, France. ibrahim.dagher@abc.aphp.fr
Di Giuro
Giuseppe
G
Lainas
Panagiotis
P
Franco
Dominique
D
D006498:Hepatectomy / Q000379:methods*; D006499:Hepatic Artery / Q000601:surgery*; D006503:Hepatic Veins / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008099:Liver / Q000098:blood supply* / Q000601:surgery; D008102:Liver Circulation; D008113:Liver Neoplasms / Q000098:blood supply / Q000601:surgery*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*