Glissonean Pedicle Transection Method와 Hanging Maneuver를 이용한 간절제의 임상적 적용

• Published in: Annals of surgical treatment and research Vol. 79; no. 2; pp. 122 - 129
• Main Authors: 김관우(Kwan Woo Kim), 박정익(Jeong-ik Park), 박광민(Kwang-Min Park), 이영주(Young-Joo Lee)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.08.2010
• Subjects: 일반외과학; Glissonean pedicle transaction method; 해부학적 간 절제; Liver hanging maneuver; 간 현수 기법; Glisson 지 일괄처리법; Left hepatectomy; 간 좌엽절제; Anatomical liver resection
• ISSN: 2288-6575; 2288-6796

Purpose: The liver hanging maneuver (LHM) is a useful technique enabling a safe anterior approach, which is one of the most important innovations in the field of major hepatic resections. This study was conducted to review tumors’ profiles after applying this procedure and to evaluate the usefulness of LHM and Glissonean pedicle transaction method (GPTM). Methods: Medical records of 64 patients who underwent hepatic resection using LHM and GPTM at the Asan Medical Center were reviewed. The classic LHM was conducted according to the Belghiti method. Results: Among 64 patients, 46 patients had hepatocellular carcinoma; 7, intrahpatic cholangiocarcinoma; 4, hilar cholangiocarcinoma; 4, metastatic liver cancer; 3, benign liver tumor. Mean tumor size was 10.6 cm (3∼22). Mean liver parenchymal transection time was 20 min (15∼30). Right side hepatectomy was performed in 44 patients; left side hepatectomy with or without caudate lobe was performed in 19 patients. Twenty patients (31.3%) required blood transfusion during surgery. There was no in-hospital mortality or major complications. Minor complications developed in 6 patients (9.37%). Conclusion: GPTM and LHM are a safe and useful surgical application of various anatomical resections for huge liver tumor and an effective procedure during left hepatectomy with or without caudate lobe. KCI Citation Count: 0