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Updated: Aug 14, 2026
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Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler
Published on: January 26, 2010
[The finger fracture technique in hepatic resection]
A M Napolitano1, P Innocenti, R Costantini
1Istituto di Patologia Speciale Chirurgica, Università degli Studi di Chieti.
Annali Italiani Di Chirurgia
|September 1, 1992
Summary
For liver resections, "finger fracture" techniques should be limited. Segmental resections are preferred over extensive ones, utilizing extraparenchymal preparation for complex cases.
Area of Science:
- Hepatobiliary surgery
- Surgical oncology
- Liver anatomy
Context:
- Evaluating complementary techniques for liver resections, specifically the
- finger fracture
- approach.
- Focus on optimizing surgical strategies for primary and metastatic liver tumors.
Purpose:
- To assess the efficacy of different
- finger fracture
- techniques in liver resections.
- To delineate appropriate indications for transparenchymal versus extraparenchymal dissection based on resection extent.
Summary:
- Transparenchymal resections are recommended for limited segmental liver resections (uni-, bi-, or trisegmentectomies).
- Extensive resections (lobectomy or extended lobectomy) benefit from extraparenchymal preparation of the hepatic pedicle and suprahepatic vein.
- Presents a case series of 24 hepatic resections for primary and metastatic tumors.
Impact:
- Provides guidance on selecting surgical techniques to improve outcomes in liver resection surgery.
- Aims to reduce complications and enhance precision in managing liver tumors.
- Contributes to the understanding of advanced surgical strategies for complex liver resections.
