Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins

Abstract Background Liver tumours between the root angle of the middle and right hepatic veins are a special type of liver segment VIII tumour. In this study, we designed a modified median hepatic fissure approach to remove these tumours. The safety and effectiveness of the approach were evaluated....

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Autores principales:	Hongcheng Lu, Linquan Wu, Rongfa Yuan, Wenjun Liao, Jun Lei, Jianghua Shao
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Liver segment VIII tumour Median hepatic fissure approach Surgical treatment Surgery RD1-811
Acceso en línea:	https://doaj.org/article/b35b3cb89d584c2188c7f59dadc8882d
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spelling	oai:doaj.org-article:b35b3cb89d584c2188c7f59dadc8882d2021-12-05T12:06:28ZModified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins10.1186/s12893-021-01412-y1471-2482https://doaj.org/article/b35b3cb89d584c2188c7f59dadc8882d2021-12-01T00:00:00Zhttps://doi.org/10.1186/s12893-021-01412-yhttps://doaj.org/toc/1471-2482Abstract Background Liver tumours between the root angle of the middle and right hepatic veins are a special type of liver segment VIII tumour. In this study, we designed a modified median hepatic fissure approach to remove these tumours. The safety and effectiveness of the approach were evaluated. Materials and methods From April 2015 to November 2019, 11 patients with liver tumours between the angle of the middle and right hepatic veins underwent this modified median hepatic fissure approach. We retrospectively analysed data from the perioperative periods of these 11 patients, including general condition, operation time, intraoperative bleeding, and postoperative complications. Disease-free survival and overall survival were assessed. Results Of the 11 patients, 9 patients had primary hepatocellular carcinoma and 2 had colorectal liver metastases. The average intraoperative blood loss was 285 mL (150–450 mL). Two patients developed postoperative bile leakage, but there were no significant serious complications, such as intraabdominal bleeding and liver failure, in any of the patients. The liver function returned to the normal range on the 5th day after surgery. Of the 11 patients, 5 have survived for more than 3 years (45.5%), and 4 have been disease-free for more than 3 years (36.3%). Conclusions For liver tumours between the root angle of the middle and right hepatic veins, the modified median hepatic fissure approach is a safe and feasible method.Hongcheng LuLinquan WuRongfa YuanWenjun LiaoJun LeiJianghua ShaoBMCarticleLiver segment VIII tumourMedian hepatic fissure approachSurgical treatmentSurgeryRD1-811ENBMC Surgery, Vol 21, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Liver segment VIII tumour Median hepatic fissure approach Surgical treatment Surgery RD1-811
spellingShingle	Liver segment VIII tumour Median hepatic fissure approach Surgical treatment Surgery RD1-811 Hongcheng Lu Linquan Wu Rongfa Yuan Wenjun Liao Jun Lei Jianghua Shao Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
description	Abstract Background Liver tumours between the root angle of the middle and right hepatic veins are a special type of liver segment VIII tumour. In this study, we designed a modified median hepatic fissure approach to remove these tumours. The safety and effectiveness of the approach were evaluated. Materials and methods From April 2015 to November 2019, 11 patients with liver tumours between the angle of the middle and right hepatic veins underwent this modified median hepatic fissure approach. We retrospectively analysed data from the perioperative periods of these 11 patients, including general condition, operation time, intraoperative bleeding, and postoperative complications. Disease-free survival and overall survival were assessed. Results Of the 11 patients, 9 patients had primary hepatocellular carcinoma and 2 had colorectal liver metastases. The average intraoperative blood loss was 285 mL (150–450 mL). Two patients developed postoperative bile leakage, but there were no significant serious complications, such as intraabdominal bleeding and liver failure, in any of the patients. The liver function returned to the normal range on the 5th day after surgery. Of the 11 patients, 5 have survived for more than 3 years (45.5%), and 4 have been disease-free for more than 3 years (36.3%). Conclusions For liver tumours between the root angle of the middle and right hepatic veins, the modified median hepatic fissure approach is a safe and feasible method.
format	article
author	Hongcheng Lu Linquan Wu Rongfa Yuan Wenjun Liao Jun Lei Jianghua Shao
author_facet	Hongcheng Lu Linquan Wu Rongfa Yuan Wenjun Liao Jun Lei Jianghua Shao
author_sort	Hongcheng Lu
title	Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
title_short	Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
title_full	Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
title_fullStr	Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
title_full_unstemmed	Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
title_sort	modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins
publisher	BMC
publishDate	2021
url	https://doaj.org/article/b35b3cb89d584c2188c7f59dadc8882d
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Modified median hepatic fissure approach for resection of liver tumours located in the angle between the root of the middle and right hepatic veins

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