International Hepato-Pancreato-Biliary Association
Right hemihepatectomy (to posterior sectionectomy) [case 13]
OR Footage
Summary of surgeons' findings and slowing down moments:
Procedure-specific moments
- Laparotomy for extrahepatic disease
- Mobilization of right liver
- Intraoperative ultrasound
- Check for liver disease
- Dissection of inflow vessels
- Dissection of PV bifurcation
- Dissection of outflow vessels
- Avoid common bile duct
- Right hepatic vein dissection
- Hanging maneuvre
- Pringle maneuvre
Patient-specific moments
- Review tumor locations on previous imaging
- Proximity of tumors to vascular structures
- Intrahepatic ductal dilatation in Sg 7
- Sg 7 branch at right portal vein bifurcation
- Divide bile duct in liver
- Possible posterior sectorectomy, local resection
- Biliary guide or contrast
- Inspect lymph nodes at hepatoduodenal ligament
Watch the following videos from the operation to see some of the key moments in the case.
- Mobilization of right liver
- Discussion of procedure options [Right posterior sectionectomy]
- Portal dissection inflow vessels: Right hepatic artery, Portal vein to Sg 6-7
- Unplanned moments: Verifying transection plane
- Transection of biliary/hilar plate structures
- Parenchymal transection and Sg6-7 hepatic duct
Acknowledgements
Thank you to the HPB Surgeons who contribute their time and expertise. This content is made possible through educational grants from:
Views and opinions expressed in all videos and module content are those of the individual surgeon and solely intended for surgical education purposes. We do not endorse any product, treatment or therapy.
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