Anatomical resection of the right hepatic subsegments preceded by suprahilar ligation of the portal pedicles

  • Eizo Okamoto
  • Naoki Yamanaka


In recent years, with the rapid increase of cirrhotic patients with smaller hepatocellular carcinomas, limited hepatectomies of less than one segment tend to greatly outnumber the regular and extended lobectomies. In view of the early intrahepatic spread of this cancer through portal blood stream [1], an anatomical segmental or subsegmental resection which is preceded by initial ligation of Glisson’s pedicles at the liver hilum is highly desirable even in such a limited hepatectomy.


Occlusion Test Hepatic Segment Liver Hilum Portal Pedicle Hilar Plate 
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  1. 1.
    Okamoto E, Yamanaka N, Toyosaka A, Tanaka N, Yabuki K (1987) Current status of hepatic resection in the treatment of hepatocellular carcinoma. In: Okuda K, Ishak KG (eds) Neoplasm of the liver. Springer-Verlag, Tokyo pp 354–365Google Scholar
  2. 2.
    Okamoto E (1986) Hepatic resection for primary hepatocellular carcinoma: New trials for controlled anatomic subsegmentectomies by an initial suprahilar Glissonian pedicular ligation method (in Japanese). Shokakigeka Seminar 23: 229–241Google Scholar
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    Takasaki K, Kobayashi S, Tanaka S, Muto H, Saiyo T, Saito A, Ueda T, Shimada Y, Tanaka T, Honda H (1986) A new method of systmatic hepatectomy by en bloc ligation of Glissonian pedicles (in Japanese). Operation 40: 7–14Google Scholar
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    Couinaud C (1985) A simplified method for controlled left hepatectomy. Surgery 97: 358–361PubMedGoogle Scholar

Copyright information

© Springer-Verlag Tokyo 1992

Authors and Affiliations

  • Eizo Okamoto
    • 1
  • Naoki Yamanaka
    • 1
  1. 1.The First Department of SurgeryHyogo College of MedicineNishinomiya, HyogoJapan

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