Intercostal and Glissonian Pedicle Approach in Laparoscopic Liver Resection for Bilobar Tumors View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2018-11

AUTHORS

Tadahiro Uemura, Molly Vincent, Lorenzo Machado, Ngoc Thai

ABSTRACT

BACKGROUND: Bilobar liver metastasis is challenging for laparoscopic liver resection. Especially, subphrenic liver tumors in S7 or S8 are technically difficult to be resected out because the space is limited and the angle of instruments to lesions cannot be perpendicular.1,2 Major liver lobectomy is also challenging for laparoscopic liver resection. Glissonian pedicle approach has benefit that any variation of vascular and bile duct elements does not need to be considered in the hepatoduodenal ligament under the hilar plate. Glissonian pedicle approach is simpler and faster than individual dissection of hepatoduodenal ligament. METHODS: This video illustrates a hand-assisted laparoscopic left lobectomy and partial liver resection of S8 in a 48-year-old male with metastatic colorectal carcinoma to the liver. He received 6 cycle of FOLFOX as neoadjuvant chemotherapy. The patient was positioned in semi left lateral decubitus so that a lesion in S8 was easily approached. A tumor in S8 was approached after right lobe mobilization. The liver resection was performed by a harmonic scalpel. A 5-mm balloon port was placed in 6th intercostal space to approach the lesion perpendicular. For left hepatectomy, glissonian pedicle approach was applied to control vascular inflow. Dissections was performed at bifurcation on the right glissonian and left glissonian pedicles. Dissection direction to the left side was above hepatogastric ligament. The tunnel was created including all left glissonian sheath, and a vessel loop was taped. An endovascular stapler was inserted and fired with dividing the left glissonian pedicle as en bloc. Hepatic parenchymal dissection was performed by the harmonic scalpel. Left hepatic vein was divided using an endoscopic vascular stapler. The specimens were removed from a hand-port. RESULTS: The operative time was 290 min. Blood loss was 250 ml, and no blood transfusion was required. He resumed a regular diet the next day and was discharged on postoperative day 4. CONCLUSIONS: Intercostal approach is useful for subphrenic liver tumors, and glissonian pedicle approach is also useful for major lobectomy for laparoscopic liver resection. More... »

PAGES

2020-2020

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-018-3902-y

DOI

http://dx.doi.org/10.1007/s11605-018-3902-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1106019961

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30084062


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Allegheny General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413621.3", 
          "name": [
            "Abdominal Transplantation and Hepato-Biliary Surgery, Department of Surgery, Allegheny General Hospital, 15212, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Uemura", 
        "givenName": "Tadahiro", 
        "id": "sg:person.01343707357.77", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01343707357.77"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Allegheny General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413621.3", 
          "name": [
            "Abdominal Transplantation and Hepato-Biliary Surgery, Department of Surgery, Allegheny General Hospital, 15212, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Vincent", 
        "givenName": "Molly", 
        "id": "sg:person.016252210130.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016252210130.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Allegheny General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413621.3", 
          "name": [
            "Abdominal Transplantation and Hepato-Biliary Surgery, Department of Surgery, Allegheny General Hospital, 15212, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Machado", 
        "givenName": "Lorenzo", 
        "id": "sg:person.011174236510.43", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011174236510.43"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Allegheny General Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413621.3", 
          "name": [
            "Abdominal Transplantation and Hepato-Biliary Surgery, Department of Surgery, Allegheny General Hospital, 15212, Pittsburgh, PA, USA"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Thai", 
        "givenName": "Ngoc", 
        "id": "sg:person.01347633441.59", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01347633441.59"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1097/sla.0000000000001015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007818499"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/sla.0000000000001015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1007818499"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/jhbp.166", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032532292"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-11", 
    "datePublishedReg": "2018-11-01", 
    "description": "BACKGROUND: Bilobar liver metastasis is challenging for laparoscopic liver resection. Especially, subphrenic liver tumors in S7 or S8 are technically difficult to be resected out because the space is limited and the angle of instruments to lesions cannot be perpendicular.1,2 Major liver lobectomy is also challenging for laparoscopic liver resection. Glissonian pedicle approach has benefit that any variation of vascular and bile duct elements does not need to be considered in the hepatoduodenal ligament under the hilar plate. Glissonian pedicle approach is simpler and faster than individual dissection of hepatoduodenal ligament.\nMETHODS: This video illustrates a hand-assisted laparoscopic left lobectomy and partial liver resection of S8 in a 48-year-old male with metastatic colorectal carcinoma to the liver. He received 6 cycle of FOLFOX as neoadjuvant chemotherapy. The patient was positioned in semi left lateral decubitus so that a lesion in S8 was easily approached. A tumor in S8 was approached after right lobe mobilization. The liver resection was performed by a harmonic scalpel. A 5-mm balloon port was placed in 6th intercostal space to approach the lesion perpendicular. For left hepatectomy, glissonian pedicle approach was applied to control vascular inflow. Dissections was performed at bifurcation on the right glissonian and left glissonian pedicles. Dissection direction to the left side was above hepatogastric ligament. The tunnel was created including all left glissonian sheath, and a vessel loop was taped. An endovascular stapler was inserted and fired with dividing the left glissonian pedicle as en bloc. Hepatic parenchymal dissection was performed by the harmonic scalpel. Left hepatic vein was divided using an endoscopic vascular stapler. The specimens were removed from a hand-port.\nRESULTS: The operative time was 290\u00a0min. Blood loss was 250\u00a0ml, and no blood transfusion was required. He resumed a regular diet the next day and was discharged on postoperative day 4.\nCONCLUSIONS: Intercostal approach is useful for subphrenic liver tumors, and glissonian pedicle approach is also useful for major lobectomy for laparoscopic liver resection.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11605-018-3902-y", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1116755", 
        "issn": [
          "1091-255X", 
          "1873-4626"
        ], 
        "name": "Journal of Gastrointestinal Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "11", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "22"
      }
    ], 
    "name": "Intercostal and Glissonian Pedicle Approach in Laparoscopic Liver Resection for Bilobar Tumors", 
    "pagination": "2020-2020", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "8e5a434241957a7110b66bafccbb15daf3f440dd1f9db5a12ec666c0423af567"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "30084062"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "9706084"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11605-018-3902-y"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1106019961"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11605-018-3902-y", 
      "https://app.dimensions.ai/details/publication/pub.1106019961"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T00:32", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8695_00000609.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11605-018-3902-y"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3902-y'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3902-y'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3902-y'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3902-y'


 

This table displays all metadata directly associated to this object as RDF triples.

96 TRIPLES      21 PREDICATES      31 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11605-018-3902-y schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author Ne33e2951ed6c47debd5bd5f30bdbcf5b
4 schema:citation https://doi.org/10.1002/jhbp.166
5 https://doi.org/10.1097/sla.0000000000001015
6 schema:datePublished 2018-11
7 schema:datePublishedReg 2018-11-01
8 schema:description BACKGROUND: Bilobar liver metastasis is challenging for laparoscopic liver resection. Especially, subphrenic liver tumors in S7 or S8 are technically difficult to be resected out because the space is limited and the angle of instruments to lesions cannot be perpendicular.1,2 Major liver lobectomy is also challenging for laparoscopic liver resection. Glissonian pedicle approach has benefit that any variation of vascular and bile duct elements does not need to be considered in the hepatoduodenal ligament under the hilar plate. Glissonian pedicle approach is simpler and faster than individual dissection of hepatoduodenal ligament. METHODS: This video illustrates a hand-assisted laparoscopic left lobectomy and partial liver resection of S8 in a 48-year-old male with metastatic colorectal carcinoma to the liver. He received 6 cycle of FOLFOX as neoadjuvant chemotherapy. The patient was positioned in semi left lateral decubitus so that a lesion in S8 was easily approached. A tumor in S8 was approached after right lobe mobilization. The liver resection was performed by a harmonic scalpel. A 5-mm balloon port was placed in 6th intercostal space to approach the lesion perpendicular. For left hepatectomy, glissonian pedicle approach was applied to control vascular inflow. Dissections was performed at bifurcation on the right glissonian and left glissonian pedicles. Dissection direction to the left side was above hepatogastric ligament. The tunnel was created including all left glissonian sheath, and a vessel loop was taped. An endovascular stapler was inserted and fired with dividing the left glissonian pedicle as en bloc. Hepatic parenchymal dissection was performed by the harmonic scalpel. Left hepatic vein was divided using an endoscopic vascular stapler. The specimens were removed from a hand-port. RESULTS: The operative time was 290 min. Blood loss was 250 ml, and no blood transfusion was required. He resumed a regular diet the next day and was discharged on postoperative day 4. CONCLUSIONS: Intercostal approach is useful for subphrenic liver tumors, and glissonian pedicle approach is also useful for major lobectomy for laparoscopic liver resection.
9 schema:genre research_article
10 schema:inLanguage en
11 schema:isAccessibleForFree true
12 schema:isPartOf N67dbc0d94f1d43e3897b4a944d1011b8
13 N970f86ccce37449d88090f839745377d
14 sg:journal.1116755
15 schema:name Intercostal and Glissonian Pedicle Approach in Laparoscopic Liver Resection for Bilobar Tumors
16 schema:pagination 2020-2020
17 schema:productId N0191a6040e1741a0b353be2f37bfa097
18 N3deb127eb4f44c81815257305857f46f
19 N617b29254cb0462b92d6b5e46eff80c0
20 N684109de91e04201a525eac39cfee308
21 Nf4ef13e9964a4f89953cc74d0e24aadf
22 schema:sameAs https://app.dimensions.ai/details/publication/pub.1106019961
23 https://doi.org/10.1007/s11605-018-3902-y
24 schema:sdDatePublished 2019-04-11T00:32
25 schema:sdLicense https://scigraph.springernature.com/explorer/license/
26 schema:sdPublisher N65ff0141265c4efeb1963dfb037a6c4b
27 schema:url https://link.springer.com/10.1007%2Fs11605-018-3902-y
28 sgo:license sg:explorer/license/
29 sgo:sdDataset articles
30 rdf:type schema:ScholarlyArticle
31 N0191a6040e1741a0b353be2f37bfa097 schema:name doi
32 schema:value 10.1007/s11605-018-3902-y
33 rdf:type schema:PropertyValue
34 N3223ba4c08884274974dba9a90785f1e rdf:first sg:person.01347633441.59
35 rdf:rest rdf:nil
36 N3deb127eb4f44c81815257305857f46f schema:name pubmed_id
37 schema:value 30084062
38 rdf:type schema:PropertyValue
39 N617b29254cb0462b92d6b5e46eff80c0 schema:name nlm_unique_id
40 schema:value 9706084
41 rdf:type schema:PropertyValue
42 N65ff0141265c4efeb1963dfb037a6c4b schema:name Springer Nature - SN SciGraph project
43 rdf:type schema:Organization
44 N67dbc0d94f1d43e3897b4a944d1011b8 schema:issueNumber 11
45 rdf:type schema:PublicationIssue
46 N684109de91e04201a525eac39cfee308 schema:name readcube_id
47 schema:value 8e5a434241957a7110b66bafccbb15daf3f440dd1f9db5a12ec666c0423af567
48 rdf:type schema:PropertyValue
49 N8a1b047afc024be3a20de1e662768799 rdf:first sg:person.016252210130.01
50 rdf:rest N8eabe05026de4c3eb8edc1fbfe718cd9
51 N8eabe05026de4c3eb8edc1fbfe718cd9 rdf:first sg:person.011174236510.43
52 rdf:rest N3223ba4c08884274974dba9a90785f1e
53 N970f86ccce37449d88090f839745377d schema:volumeNumber 22
54 rdf:type schema:PublicationVolume
55 Ne33e2951ed6c47debd5bd5f30bdbcf5b rdf:first sg:person.01343707357.77
56 rdf:rest N8a1b047afc024be3a20de1e662768799
57 Nf4ef13e9964a4f89953cc74d0e24aadf schema:name dimensions_id
58 schema:value pub.1106019961
59 rdf:type schema:PropertyValue
60 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
61 schema:name Medical and Health Sciences
62 rdf:type schema:DefinedTerm
63 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
64 schema:name Clinical Sciences
65 rdf:type schema:DefinedTerm
66 sg:journal.1116755 schema:issn 1091-255X
67 1873-4626
68 schema:name Journal of Gastrointestinal Surgery
69 rdf:type schema:Periodical
70 sg:person.011174236510.43 schema:affiliation https://www.grid.ac/institutes/grid.413621.3
71 schema:familyName Machado
72 schema:givenName Lorenzo
73 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.011174236510.43
74 rdf:type schema:Person
75 sg:person.01343707357.77 schema:affiliation https://www.grid.ac/institutes/grid.413621.3
76 schema:familyName Uemura
77 schema:givenName Tadahiro
78 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01343707357.77
79 rdf:type schema:Person
80 sg:person.01347633441.59 schema:affiliation https://www.grid.ac/institutes/grid.413621.3
81 schema:familyName Thai
82 schema:givenName Ngoc
83 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01347633441.59
84 rdf:type schema:Person
85 sg:person.016252210130.01 schema:affiliation https://www.grid.ac/institutes/grid.413621.3
86 schema:familyName Vincent
87 schema:givenName Molly
88 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.016252210130.01
89 rdf:type schema:Person
90 https://doi.org/10.1002/jhbp.166 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032532292
91 rdf:type schema:CreativeWork
92 https://doi.org/10.1097/sla.0000000000001015 schema:sameAs https://app.dimensions.ai/details/publication/pub.1007818499
93 rdf:type schema:CreativeWork
94 https://www.grid.ac/institutes/grid.413621.3 schema:alternateName Allegheny General Hospital
95 schema:name Abdominal Transplantation and Hepato-Biliary Surgery, Department of Surgery, Allegheny General Hospital, 15212, Pittsburgh, PA, USA
96 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...