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plate cholecystectomy should be the first procedure, whereas for the left, the Arantius plate or the umbilical plate should
be detached from Laennec’s capsule at first. Pedicles can be isolated by connecting Gates to each other. Further peripheral
pedicles could be pulled out to the hepatic hilum and transected safely. In conclusion, the extrahepatic Glissonean pedicle
approach based on Laennec’s capsule would standardize anatomical liver resection including laparoscopic and robotic liver
resection.
Keywords: anatomical liver resection, Glissonean approach, Laennec's capsule, extrafascial dissection
Literatura 20. Lazorthes F, Chiotasso P, Chevreau P, Materre JP, Roques J. Hepatectomy
with initial suprahilar control of intrahepatic portal pedicles. Surgery.
1993 Jan;113(1):103-8.
1. Dan RG, Creţu OM, Mazilu O, Sima LV, Iliescu D, Blidişel A, et 21. Takasaki K. Glissonean pedicle transection method for hepatic
al. Postoperative morbidity and mortality after liver resection. resection: a new concept of liver segmentation. J Hepatobiliary Pancreat
Retrospective study on 133 patients. Chirurgia (Bucur). 2012 Nov- Surg. 1998;5(3):286-91.
Dec;107(6):737-41.
22. Galperin EI, Karagiulian SR. A new simplified method of selective
2. Chirica M, Scatton O, Massault PP, Aloia T, Randone B, Dousset B, et al. exposure of hepatic pedicles for controlled hepatectomies. HPB Surg.
Treatment of stage IVA hepatocellular carcinoma: should we reappraise 1989 Apr;1(2):119-30.
the role of surgery? Arch Surg. 2008 Jun;143(6):538-43; discussion 543.
23. Launois B, Jamieson GG. The importance of Glisson's capsule and its
3. Pawlik TM, Schulick RD, Choti MA. Expanding criteria for resectability of sheaths in the intrahepatic approach to resection of the liver. Surg
colorectal liver metastases. Oncologist. 2008 Jan;13(1):51-64. Gynecol Obstet. 1992 Jan;174(1):7-10.
4. González HD, Figueras J. Practical questions in liver metastases of 24. Machado MA, Herman P, Machado MC. A standardized technique for
colorectal cancer: general principles of treatment. HPB (Oxford). right segmental liver resections. Arch Surg. 2003 Aug;138(8):918-20.
2007;9(4):251-8.
25. Machado MA, Herman P, Machado MC. Anatomical resection of left liver
5. Minagawa M, Yamamoto J, Miwa S, Sakamoto Y, Kokudo N, Kosuge segments. Arch Surg. 2004 Dec;139(12):1346-9.
T, et al. Selection criteria for simultaneous resection in patients with
synchronous liver metastasis. Arch Surg. 2006 Oct;141(10):1006-12; 26. Machado MA, Herman P, Meirelles RF Jr, Bacchella T, Machado MC. How
discussion 1013. I do it: bi-segmentectomy V-VIII as alternative to right hepatectomy: an
intrahepatic approach. J Surg Oncol. 2005 Apr 1;90(1):43-5.
6. Nuzzo G, Giuliante F, Ardito F, Vellone M, Pozzo C, Cassano A, et al. Liver
resection for primarily unresectable colorectal metastases downsized 27. Walaeus J. Epistolae duae de motu chyli et sanguinis ad Thomam
by chemotherapy. J Gastrointest Surg. 2007 Mar;11(3):318-24. Bartholeum. Leiden Fransciscus Hackius; 1640.
7. Figueras J, Lopez-Ben S, Lladó L, Rafecas A, Torras J, Ramos E, et al. Hilar 28. Glisson F. Anatomia hepatis. London: O. Pullein; 1654.
dissection versus the "glissonean" approach and stapling of the pedicle
for major hepatectomies: a prospective, randomized trial. Ann Surg. 29. Laennec RTH. Lettre sur des Tuniques qui enveloppent certains
2003 Jul;238(1):111-9. Visceres, et fournissentdes gainesmembraneusesa leurs vaisseaux.
1802.
8. Aragon RJ, Solomon NL. Techniques of hepatic resection. J Gastrointest
Oncol. 2012 Mar;3(1):28-40. 30. Couinaud C. Les enveloppes vasculo-biliaires du foie ou capsule
de Glisson. Leur inter^et dans lachirurgie vesiculaire, les resctions
9. Karamarković A, Doklestić K, Popović N, Gregorić P, Vujadinović hepatiques et l’abord du hile du foie. Lyon Chir. 1954;49:589–607.
ST, Milić N. Suprahilar vascular control and stapling device
transection of Glissonian pedicle in major and minor hepatectomies. 31. Hayashi S, Murakami G, Ohtsuka A, Itoh M, Nakano T, Fukuzawa
Hepatogastroenterology. 2013 Nov-Dec;60(128):2060-8. Y. Connective tissue configuration in the human liver hilar region
with special reference to the liver capsule and vascular sheath. J
10. Lortat-Jacob JL, Robert HG. Hépatectomie droite réglée [Well Hepatobiliary Pancreat Surg. 2008;15(6):640-7.
defined technic for right hepatectomy]. Presse Med (1893). 1952 Apr
16;60(26):549-51. 32. Yamamoto M, Ariizumi SI. Glissonean pedicle approach in liver surgery.
Ann Gastroenterol Surg. 2018 Feb 13;2(2):124-8.
11. Sugioka A, Kato Y, Tanahashi Y. Systematic extrahepatic Glissonean
pedicle isolation for anatomical liver resection based on Laennec's 33. Gans H. On the subdivision of the liver. Introduction to hepatic surgery.
capsule: proposal of a novel comprehensive surgical anatomy of the Houston: Elsevier; 1955. p.1–39.
liver. J Hepatobiliary Pancreat Sci. 2017 Jan;24(1):17-23.
34. Yamamoto M, Katagiri S, Ariizumi S, Kotera Y, Takahashi Y. Glissonean
12. Meunier B, Lakehal M, Tay KH, Malledant Y, Launois B. Surgical pedicle transection method for liver surgery (with video). J Hepatobiliary
complications and treatment during resection for malignancy of the Pancreat Sci. 2012 Jan;19(1):3-8.
high bile duct. World J Surg. 2001 Oct;25(10):1284-8.
35. Hu Y, Shi J, Wang S, Zhang W, Sun X, Sun B, et al. Laennec's approach for
13. Lo CM, Fan ST, Liu CL, Lai EC, Wong J. Biliary complications after hepatic laparoscopic anatomic hepatectomy based on Laennec's capsule. BMC
resection: risk factors, management, and outcome. Arch Surg. 1998 Gastroenterol. 2019 Nov 21;19(1):194.
Feb;133(2):156-61.
36. Kiguchi G, Sugioka A, Kato Y, Uyama I. Use of the inter-Laennec
14. Miyagawa S, Makuuchi M, Kawasaki S, Kakazu T. Criteria for safe approach for laparoscopic anatomical right posterior sectionectomy in
hepatic resection. Am J Surg. 1995 Jun;169(6):589-94. semi-prone position. Surg Oncol. 2019 Jun;29:140-1.
15. Icoz G, Kilic M, Zeytunlu M, Celebi A, Ersoz G, Killi R, et al. Biliary 37. Kiguchi G, Sugioka A, Kato Y, Uyama I. Laparoscopic S7 Segmentectomy
reconstructions and complications encountered in 50 consecutive right- using the inter-Laennec approach for hepatocellular carcinoma near
lobe living donor liver transplantations. Liver Transpl. 2003 Jun;9(6):575- the right hepatic vein. Surg Oncol. 2019 Dec;31:132-4.
80.
38. Yamamoto M, Katagiri S, Ariizumi S, Kotera Y, Takahashi Y, Egawa H.
16. Couinaud C. Le foie; études anatomiques et chirurgicales. Paris: Tips for anatomical hepatectomy for hepatocellular carcinoma by the
Masson; 1957. Glissonean pedicle approach (with videos). J Hepatobiliary Pancreat Sci.
2014 Aug;21(8):E53-6.
17. Couinaud C. The vasculo-biliary sheath. Surgical anatomy of the liver
revisited. Paris (15, rueSpontini, 75116): C. Couinaud; 1989. 39. Takasaki K, Kobayashi S, Tanaka S, Saito A, Yamamoto M, Hanyu F.
Highly anatomically systematized hepatic resection with Glissonean
18. Tung TT. Les Résections Majeureset Mineures du Fois. Paris: Masson sheath code transection at the hepatic hilus. Int Surg. 1990 Apr-
& Cie; 1957. Jun;75(2):73-7.
19. Couinaud CM. A simplified method for controlled left hepatectomy. 40. Fong Y, Blumgart LH. Useful stapling techniques in liver surgery. J Am
Surgery. 1985 Mar;97(3):358-61. Coll Surg. 1997 Jul;185(1):93-100.
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