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Safe and feasible extrahepatic Glissonean access in laparoscopic anatomical liver resection



Although recent technological developments and improved endoscopic procedures have further spread the application of laparoscopic liver resection, laparoscopic anatomical liver resection still presents major technical difficulties, such as pedicle control.


Subjects comprised 27 patients who underwent laparoscopic anatomical liver resection using an extrahepatic Glissonean pedicle transaction between August 2005 and February 2010.


A total of 61 Glissonean pedicles could be encircled en bloc extrahepatically, as planned. No serious complications, including major bleeding or injury of the portal triad, were encountered during procedures.


Extrahepatic Glissonean access seems to be feasible and safe for laparoscopic anatomical resection of the liver.

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Drs. Akihiro Cho, Hiroshi Yamamoto, Osamu Kainuma, Hiroaki Souda, Atsushi Ikeda, Nobuhiro Takiguchi, and Matsuo Nagata have no conflicts of interest or financial ties to disclose.

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Correspondence to Akihiro Cho.

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Cho, A., Yamamoto, H., Kainuma, O. et al. Safe and feasible extrahepatic Glissonean access in laparoscopic anatomical liver resection. Surg Endosc 25, 1333–1336 (2011).

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  • Laparoscopy
  • Laparoscopic liver resection
  • Anatomical resection
  • Glissonean pedicle