By Shu You Peng
"Hepatic Caudate Lobe Resection" offers a accomplished and updated insurance of study at the surgical means of caudate lobe resection. The e-book introduces every kind of tactics for caudate lobe resection, from simple ones to the main complicated ones. a brand new surgical dissection procedure utilizing an easy but flexible device is brought, that is of serious assist in facilitating the approach and embellishing the protection of the operation. greater than 350 images concerning the anatomy of the caudate lobe, the surgery or distinctive tools are provided, and 18 varied video clips are tested. it's a nice reference for liver surgeons studying approximately caudate lobe resection, in addition to researchers and postgraduate scholars within the fields of hepatobiliary surgical procedure. Being an Honorary Fellow of yankee collage of health care professional and an Honorary Fellow of eu Surgical organization, Dr. Shu You Peng is a professor on the moment Affiliated clinic, and the Sir Run Run Shaw health facility, college of drugs, Zhejiang college, China. From pre-publication reports: "This ebook, describing the main smooth hepatectomy within the middle of the liver, will make effortless the functionality of the opposite hepatectomies of the left liver and the perfect liver. it's a ideal advent to the liver surgical procedure. it really is like doing the Bechamel sauce: in case you are aware of it, all recipes could be easy." Professor Henri Bismuth, the founding President of ESA "This publication is a 'must' for all liver surgeons who're to enhance their wisdom and abilities in advanced liver surgery." Professor Wan Yee Lau, the prior President of IHPBA
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Additional resources for Hepatic Caudate Lobe Resection
Vol. 1, 3rd edn. WB Saunders, London, 3-33 Kumon M (1985) Anatomy of the caudate lobe with special reference to portal vein and bile duct. Acta Hepatol Jpn 26: 1193-1199 Asahara T, Dohi K, Hino H, et al. (1998) Isolated caudate lobectomy by anterior approach for hepatocellular carcinoma originating in the paracaval portion of the caudate lobe. J Hepatobiliary Pancreat Surg 5: 416-421 Asahara T, Dohi K, Katayama K, et al. (2000) Isolated caudate lobectomy for hepatocellular carcinoma: a left-sided approach.
Injury to the major HVs is the major risk at this stage. If the liver parenchyma needs to be transected very close to the root of major HVs, and if these veins are inadvertently lacerated, bleeding can be controlled by temporarily excluding the HVs by pulling on the tapes which were previously positioned. Hemostasis can be achieved by suturing with 5-0 prolene. If the tumor is closely attached to the major HVs, it is advisable to use the anterior transhepatic approach. , 2007). 1 Indications When a caudate lobe tumor is larger than 6 cm, especially when it is located in the paracaval portion, or is in close contact with major HVs, the anterior transhepatic approach for an isolated caudate lobectomy is indicated.
1999; Takasaki, 2007). Regardless of the incision used, an excellent exposure is of vital importance for a caudate lobectomy. 3 Mobilization of the Liver Ligamentum teres need to be ligated and transected close to the umbilicus. The falciform ligament is divided up to the front of the suprahepatic inferior vena cava (SIVC), and the roots of the major HVs are anteriorly discerned and exposed. On the upper margin of the liver, the fossa between the RHV and the MHV are dissected free to the anterior surface of the IVC.
Hepatic Caudate Lobe Resection by Shu You Peng