title: [Analysis of intrahepatic Glisson's sheath vascular disconnection approach for anatomical hepatectomy by three-dimensional laparoscope].
abstract: OBJECTIVE
  To investigate the clinical value of the intrahepatic Glisson's sheath vascular disconnection approach for anatomical hepatectomy by three-dimensional(3D) laparoscope.
  
  
  METHODS
  Twenty-two patients(11 liver cancer and 11 benign diseases)underwent hepatectomy in Zhujiang Hospital, Southern Medical University from November 2013 to March 2015 were involved. All patients were performed anatomical hepatectomy by 3D laparoscope with the intrahepatic Glisson's sheath vascular disconnection approach.The anatomical time of first hepatic portal, operation time, intraoperative bleeding, postoperation hospitalization and the complication incidences were observed.
  
  
  RESULTS
  All the 22 cases were performed successfully with the intrahepatic Glisson's sheath vascular disconnection and the anatomic hepatectomy. The anatomical time of first hepatic portal, operation time, intraoperative bleeding, the postoperation hospitalization duration and complication incidence rate were(43±14) minutes(22-74 minutes), (295±89) minutes(105-480 minutes), (546±390) ml (50-1 500 ml), (9.8±2.8) days(5-16 days) and 18.2%(4/22)in 22 patients, respectively. There was no death.
  
  
  CONCLUSIONS
  With the help of 3D laparoscope, the anatomy of Glisson pedicle could perform precisely and the dissection of vessels would be easy and accuracy. The 3D laparoscope is feasible for performing the anatomical hepatectomy.
authors.affiliation: First Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou 510282, China.
authors.forename: Y F
authors.initials: YF
authors.lastname: Fan
authors.forename: F
authors.initials: F
authors.lastname: Xiang
authors.forename: W
authors.initials: W
authors.lastname: Cai
authors.forename: J
authors.initials: J
authors.lastname: Yang
authors.forename: N
authors.initials: N
authors.lastname: Xiang
authors.forename: N
authors.initials: N
authors.lastname: Zeng
authors.forename: C H
authors.initials: CH
authors.lastname: Fang
mesh_terms: D006498:Hepatectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D020706:Laparoscopes; D008113:Liver Neoplasms / Q000601:surgery; D061646:Operative Time