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Basic Techniques for Hepatic Resection by the Glissonean Approach

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Abstract

Liver resection for the treatment of hepatocellular carcinoma has progressed greatly over the last 20 years. Notable advancements include increased utilization of parenchymal-preserving resections, better patient selection, use of associating liver partition and portal vein ligation for staged hepatectomy (ALPPS), use of 3D virtual resection and reconstruction technology, and improvements in perioperative management [1]. Because of these changes, the postoperative morbidity and mortality have significantly decreased [2, 3]. Even if like this, intraoperative severe hemorrhage still is a potentially lethal problem, especially in patients with HCC associated with cirrhosis [4, 5]. Moreover, perioperative blood transfusion has been found to negatively influence long-term overall and disease-free survival [6, 7]. Therefore, minimizing blood loss while performing oncologically sound hepatectomy should be the primary goals of hepatic surgeons. During liver resection, blood loss occurs due to bleeding both from the vascular inflow system and from the vascular outflow system. It is similarly crucial to occlude the inflow and outflow systems to minimize bleeding during hepatic resection.

The corresponding author of section “Control of the Inflow and Outflow System During Liver Resection” is Jiangsheng Huang, Email: HJS13907313501@yahoo.com.

The corresponding author of section “Segment-Based Hepatic Resection by the Glissonean Pedicle Approach” is Xianling Liu, Email: liuxianling3180@163.com.

The corresponding author of section “Technical Details of Suprahilar Glissonean Approach for Anatomical Hepatic Resection” is Xianling Liu, Email: liuxianling3180@163.com.

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Authors and Affiliations

  1. Department of Hepatobiliary Surgery and Hunan Provincial Key Laboratory of Hepatobiliary Disease Research, The Second Xiangya Hospital, Central South University, Changsha, Hunan, PR China

    Jixiong Hu

  2. Department of Minimally Invasive Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, PR China

    Jiangsheng Huang & Zhongkun Zuo

  3. Department of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, PR China

    Xianling Liu

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  1. Jixiong Hu
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Correspondence to Xianling Liu .

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Editors and Affiliations

  1. Department of Minimally Invasive Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China

    Jiangsheng Huang

  2. Department of Oncology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China

    Xianling Liu

  3. Department of Hepatobiliary Surgery and Hunan Provincial Key Laboratory of Hepatobiliary Disease Research, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China

    Jixiong Hu

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Hu, J., Huang, J., Liu, X., Zuo, Z. (2019). Basic Techniques for Hepatic Resection by the Glissonean Approach. In: Huang, J., Liu, X., Hu, J. (eds) Atlas of Anatomic Hepatic Resection for Hepatocellular Carcinoma . Springer, Singapore. https://doi.org/10.1007/978-981-13-0668-6_3

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  • DOI: https://doi.org/10.1007/978-981-13-0668-6_3

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