Yasutoshi Kimura
	
					    												
Japan						                            
                            
						
 Research Article
												Left Lateral Sectionectomy Performed Under Minimal Open Access after the Completion of Hand-Assisted Laparoscopic Mobilization 						
Author(s): Toru Mizuguchi*,Masaki Kawamoto,Makoto Meguro,Shigenori Ota,Masayuki Ishii,Kenji Okita,Yasutoshi Kimura,Tomohisa Furuhata,Koichi Hirata
Toru Mizuguchi*,Masaki Kawamoto,Makoto Meguro,Shigenori Ota,Masayuki Ishii,Kenji Okita,Yasutoshi Kimura,Tomohisa Furuhata,Koichi Hirata
             
						
												
				 Purpose: Left lateral sectionectomy is one of the best methods for laparoscopic anatomical liver resection. We have developed a three-port method for anatomical left lateral sectionectomy, in which the sectionectomy is performed via a minimal incision after hand-assisted laparoscopic mobilization.
Methods: Access for the open laparotomy was obtained by making an 8 cm incision for a hand port. The other ports were used as the camera port and working port. Liver immobilization was completed under pneumoperitoneum. Fingertip tape ligation is a very simple method for encircling the hepatoduodenal ligament and does not require any special equipment. The standard open technique was then employed for liver dissection through the minilaparotomy. We compared the clinical and operative variables of the patients that underwent the open procedure (n = 6.. View More»
				  
												DOI:
												 10.4172/2167-0889.1000141