Exposure for hepatic surgery in the obese patient: An innovative adaptation in time of need

Summary Obesity has become a major public health concern. More and more patients with substantial obesity require surgery including complex hepatobiliary interventions. The morphology of these patients can make surgery difficult, especially in terms of exposure. We report the case of an obese patien...

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Bibliographic Details
Published inJournal of visceral surgery Vol. 149; no. 4; pp. e262 - e263
Main Authors Bouras, A.F, Boleslawski, E, Hervieux, E, Truant, S, Pruvot, F.-R
Format Journal Article
LanguageEnglish
Published France Elsevier 01.08.2012
Subjects
Adenocarcinoma - complications
Adenocarcinoma - secondary
Adenocarcinoma - surgery
Colonic Neoplasms - pathology
Female
Hepatectomy - instrumentation
Hepatectomy - methods
Humans
Life Sciences
Liver Neoplasms - complications
Liver Neoplasms - secondary
Liver Neoplasms - surgery
Middle Aged
Obesity - complications
Surgery
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Summary:Summary Obesity has become a major public health concern. More and more patients with substantial obesity require surgery including complex hepatobiliary interventions. The morphology of these patients can make surgery difficult, especially in terms of exposure. We report the case of an obese patient who required a left hemihepatectomy for colorectal liver metastasis. It was very difficult to obtain adequate exposure; this problem was solved by transcutaneous introduction of the handle of a broad costal margin retractor. We describe this maneuver, which allowed us to carry out the intervention under excellent conditions.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:1878-7886
1878-7886
DOI:10.1016/j.jviscsurg.2012.05.003