Right-Lateral Pringle Maneuver Using Endovascular Clip for Open and Laparoscopic Hepatectomy After Esophagectomy (with Video).
Endovascular clip
Esophagectomy
Laparoscopic hepatectomy
Pringle maneuver
Journal
Annals of surgical oncology
ISSN: 1534-4681
Titre abrégé: Ann Surg Oncol
Pays: United States
ID NLM: 9420840
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
04
10
2022
accepted:
26
07
2023
pubmed:
17
8
2023
medline:
17
8
2023
entrez:
16
8
2023
Statut:
ppublish
Résumé
Laparoscopic hepatectomy after esophageal cancer surgery is a technically challenging procedure as it is difficult to control hepatic inflow due to adhesion 1. Ann Hepatobiliary Pancreat Surg. 22:344-349; 2. Dis Esophagus. 28:483-487; 3. Surg Endosc. 35:5375-5380; 4. Surg Laparosc Endosc Percutan Tech. 23:e103-105. Thus, we introduce our technique for hepatic inflow control using an endovascular clip. After the confirmation of space between the right and dorsal side of the hepatoduodenal ligament and the inferior vena cava, an endovascular clip was introduced laterally from the right side of the hepatoduodenal ligament to control hepatic inflow. The control of hepatic inflow was confirmed using intraoperative Doppler ultrasound and then a hepatic parenchymal transection was performed. The video demonstrates our technique using an endovascular clip for hepatic inflow control to perform safe open or laparoscopic hepatectomy after esophageal cancer surgery. Patient 1 was an 82-year-old woman with a history of laparoscopic assisted esophagectomy for esophageal neuroendocrine cancer. She underwent open anatomical resection of segment 3 for a 38-mm liver tumor. Patient 2 was a 71-year-old man with a history of laparoscopic esophagectomy for esophageal cancer. He underwent laparoscopic partial resection of segment 6 for a 24-mm liver tumor. The operation times were 105 and 123 min, and the estimated blood loss was 30 g and 10 g, respectively. The patients' postoperative courses were uneventful and the patients were discharged on postoperative days 9 and 8, respectively. Right-lateral Pringle maneuver using an endovascular clip may be a safe and feasible technique in both open and laparoscopic hepatectomy after esophagectomy.
Sections du résumé
BACKGROUND
BACKGROUND
Laparoscopic hepatectomy after esophageal cancer surgery is a technically challenging procedure as it is difficult to control hepatic inflow due to adhesion 1. Ann Hepatobiliary Pancreat Surg. 22:344-349; 2. Dis Esophagus. 28:483-487; 3. Surg Endosc. 35:5375-5380; 4. Surg Laparosc Endosc Percutan Tech. 23:e103-105. Thus, we introduce our technique for hepatic inflow control using an endovascular clip.
METHODS
METHODS
After the confirmation of space between the right and dorsal side of the hepatoduodenal ligament and the inferior vena cava, an endovascular clip was introduced laterally from the right side of the hepatoduodenal ligament to control hepatic inflow. The control of hepatic inflow was confirmed using intraoperative Doppler ultrasound and then a hepatic parenchymal transection was performed. The video demonstrates our technique using an endovascular clip for hepatic inflow control to perform safe open or laparoscopic hepatectomy after esophageal cancer surgery. Patient 1 was an 82-year-old woman with a history of laparoscopic assisted esophagectomy for esophageal neuroendocrine cancer. She underwent open anatomical resection of segment 3 for a 38-mm liver tumor. Patient 2 was a 71-year-old man with a history of laparoscopic esophagectomy for esophageal cancer. He underwent laparoscopic partial resection of segment 6 for a 24-mm liver tumor.
RESULTS
RESULTS
The operation times were 105 and 123 min, and the estimated blood loss was 30 g and 10 g, respectively. The patients' postoperative courses were uneventful and the patients were discharged on postoperative days 9 and 8, respectively.
CONCLUSION
CONCLUSIONS
Right-lateral Pringle maneuver using an endovascular clip may be a safe and feasible technique in both open and laparoscopic hepatectomy after esophagectomy.
Identifiants
pubmed: 37587361
doi: 10.1245/s10434-023-14119-6
pii: 10.1245/s10434-023-14119-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
7371-7372Subventions
Organisme : JSPS KAKENHI
ID : JP21K08805
Informations de copyright
© 2023. Society of Surgical Oncology.
Références
Nanashima A, Hiyoshi M, Imamura N, et al. A cohort study on the risk of hepatectomy and pancreatectomy after history of abdominal surgery on other organs. Ann Hepatobiliary Pancreat Surg. 2018;22:344–9.
doi: 10.14701/ahbps.2018.22.4.344
pubmed: 30588525
pmcid: 6295370
Huddy JR, Thomas RL, Worthington TR, et al. Liver metastases from esophageal carcinoma: is there a role for surgical resection? Dis Esophagus. 2015;28:483–7.
doi: 10.1111/dote.12233
pubmed: 24898890
Onda S, Haruki K, Furukawa K, et al. Newly-revised Pringle maneuver using laparoscopic Satinsky vascular clamp for repeat laparoscopic hepatectomy. Surg Endosc. 2021;35:5375–80.
doi: 10.1007/s00464-021-08516-9
pubmed: 33913029
Komeda K, Hayashi M, Inoue Y, et al. Clinical usefulness of endo intestinal clips during pringle’s maneuver in laparoscopic liver resection a technical report. Surg Laparosc Endosc Percutan Tech. 2013;23(3):e103–105.
doi: 10.1097/SLE.0b013e318277d3e9
pubmed: 23752015