Laparoscopic liver resection of segment seven: A case report and review of surgical techniques

International Journal of Surgery Case Reports
Kosei TakagiToshiyoshi Fujiwara

Abstract

Laparoscopic liver resection of segment seven (LLR-S7) is a technically challenging procedure due to its anatomical location and difficult accessibility. Herein, we present our experience with LLR-S7, and demonstrate a literature review regarding surgical techniques. A 28-year-old female was diagnosed with rectosigmoid cancer and synchronous liver metastases at the segment three (S3) and S7, which were treated with laparoscopic procedure. After the completely mobilization of the right lobe, the Glissonean pedicle of S7 (G7) was intrahepatically transected. The right hepatic vein was exposed to identify the venous branch of S7 (V7). Finally the liver parenchyma between RHV and dissection line was divided. Various laparoscopic approaches for S7 have been reported including the Glissonian approach from the hilum, the intrahepatic Glissonean approach, the caudate lobe first approach, and the lateral approach from intercostal ports. To perform LLR-S7 safely, it is important to understand the advantage of each technique including the trocar placement and approaches to S7 by laparoscopy. We present our experience of LLR-S7 for the tumor located at the top of S7, successfully performed with the intrahepatic Glissonean approach. LLR-S7 ...Continue Reading

References

May 21, 2014·Journal of Hepato-biliary-pancreatic Sciences·Woohyung LeeHong Kyung Shin
Aug 2, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Yoshihiro InoueKazuhisa Uchiyama
Jul 7, 2018·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Igor MashchenkoAndrew N de la Torre
Oct 21, 2018·International Journal of Surgery·Riaz A AghaUNKNOWN SCARE Group
Jan 27, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Hongyu LiJun Muto
Jan 16, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jun-Ming HeJian-Xin Peng

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Methods Mentioned

BETA
dissection
fluorescence imaging

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