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Updated: Jul 6, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

Current techniques of liver transection.

Ronnie T P Poon1

  • 1Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China. poontp@hkucc.hku.hk

HPB : the Official Journal of the International Hepato Pancreato Biliary Association
|March 12, 2008
PubMed
Summary

Liver resection safety has improved significantly due to better surgical techniques reducing blood loss. This review examines various liver transection methods and their effectiveness in minimizing hemorrhage risks.

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Area of Science:

  • Hepatobiliary Surgery
  • Surgical Oncology
  • Gastroenterology

Background:

  • Operative mortality for liver resection has decreased significantly.
  • Reduced blood loss is a key factor in improved outcomes.
  • Liver transection remains a challenging aspect with hemorrhage risks.

Purpose of the Study:

  • To review the safety and efficacy of different liver transection techniques.
  • To evaluate new energy-based devices for liver transection.
  • To assess adjunctive measures for hemorrhage control during liver resection.

Main Methods:

  • Review of existing literature, focusing on randomized controlled trials.
  • Analysis of established techniques like clamp crushing and ultrasonic dissection.

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Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

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Last Updated: Jul 6, 2026

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique
03:48

Techniques of Laparoscopic Right Posterior Sectionectomy: Glissonian Approach and a Parenchymal Transection Technique

Published on: October 6, 2023

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver
12:27

Modified Laparoscopic Anatomic Hepatectomy: Two-Surgeon Technique Combined with the Simple Extracorporeal Pringle Maneuver

Published on: June 16, 2023

  • Evaluation of newer energy devices (radiofrequency, Harmonic Scalpel, Ligasure) and vascular staplers.

    • Main Results:

    • Improved surgical techniques have drastically reduced liver resection mortality.
    • Newer energy devices and vascular staplers show promise, especially in laparoscopic procedures.
    • Adjunctive measures like Pringle maneuver and low central venous pressure are beneficial.

    Conclusions:

    • Understanding liver anatomy and using intraoperative ultrasound are crucial for safe transection.
    • Evidence supporting the superiority of new energy devices over traditional methods is not yet conclusive.
    • Continued research and evidence from randomized controlled trials are needed to fully establish the safety and efficacy of novel liver transection techniques.