title: Arantius' ligament approach for the left extrahepatic Glissonean pedicle in pure laparoscopic left hemihepatectomy.
abstract: BACKGROUND
  Laparoscopic hemihepatectomy has not yet become widely accepted because of the technical difficulties in controlling each Glissonean pedicle laparoscopically.
  
  
  METHODS
  The subjects in the present study included 12 patients who underwent laparoscopic left hemihepatectomy between August 2007 and June 2011. Arantius' ligament was divided. Retracting the caudal stump of the ligament revealed a space between the left Glissonean pedicle and the liver parenchyma. The left Glissonean pedicle could be easily encircled by using an Endo Retract Maxi. No Glissonean injuries, including bleeding or biliary leakage, occurred in any of the 12 patients.
  
  
  CONCLUSIONS
  Therefore, the Arantius' ligament approach for the left extrahepatic Glissonean pedicle appears to be feasible and safe for successfully performing pure laparoscopic left hemihepatectomy.
authors.affiliation: Division of Gastroenterological Surgery, Chiba Cancer Center Hospital, Chiba, Japan. acho@chiba-cc.jp
authors.forename: Akihiro
authors.initials: A
authors.lastname: Cho
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Osamu
authors.initials: O
authors.lastname: Kainuma
authors.forename: Takumi
authors.initials: T
authors.lastname: Ota
authors.forename: Seongjin
authors.initials: S
authors.lastname: Park
authors.forename: Hiroo
authors.initials: H
authors.lastname: Yanagibashi
authors.forename: Hidehito
authors.initials: H
authors.lastname: Arimitsu
authors.forename: Atsushi
authors.initials: A
authors.lastname: Ikeda
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Souda
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nabeya
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Takiguchi
authors.forename: Matsuo
authors.initials: M
authors.lastname: Nagata
mesh_terms: D000368:Aged; D005260:Female; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008022:Ligaments / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome