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A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors

  • Authors:
    • Jia Li
    • Hui Ren
    • Gang Du
    • Bin Jin
  • View Affiliations / Copyright

    Affiliations: Department of Liver Transplantation Surgery, 302 Military Hospital of China, Beijing 100039, P.R. China, Department of General Surgery, Qilu Hospital of Shandong University, Jinan, Shandong 250012, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 7846-7854
    |
    Published online on: March 23, 2018
       https://doi.org/10.3892/ol.2018.8345
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Abstract

Laparoscopic right partial hepatectomy (LRPH), located in the deep segment (S) VI, S VII or S VIII, is a complicated procedure, due to its poor operative field and high risk of bleeding. The present study aimed to summarize our experience of LRPH and to share our systematic surgical procedure, the ̔7+3̓ approach. This approach includes seven key points and three main instruments. A total of 81 cases were included, which were divided into 2 groups [LRPH, n=52; open hepatectomy (OH), n=29]. The demographic profile, intraoperative parameters and postoperative parameters were obtained and analyzed. Blood loss (245.38±268.37 ml) in the LRPH group was not significantly more than in the OH group (230.93±257.62 ml; P=0.936). The durations of surgery, liver parenchyma transection and portal triad clamping were also not significantly more than those in the OH group (145.52±48.29 vs. 129.83±35.04 min; P=0.149 for surgery; 28.52±10.16 vs. 23.97±10.44 min; P=0.059 for liver parenchyma transection; 20.62±9.61 vs. 17.31±10.12 min; P=0.149 for portal triad clamping). However, the number of postoperative hospital days in the LRPH group was smaller (10.67 in LRPH vs. 12.07 in OH; P=0.025). The present study demonstrated the satisfactory surgical outcomes and economic benefits of the systematic ̔7+3̓ surgical technique for LRPH. Further studies in larger cohorts and other centers are required to confirm its feasibility and superiority.
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Copy and paste a formatted citation
Spandidos Publications style
Li J, Ren H, Du G and Jin B: A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors. Oncol Lett 15: 7846-7854, 2018.
APA
Li, J., Ren, H., Du, G., & Jin, B. (2018). A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors. Oncology Letters, 15, 7846-7854. https://doi.org/10.3892/ol.2018.8345
MLA
Li, J., Ren, H., Du, G., Jin, B."A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors". Oncology Letters 15.5 (2018): 7846-7854.
Chicago
Li, J., Ren, H., Du, G., Jin, B."A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors". Oncology Letters 15, no. 5 (2018): 7846-7854. https://doi.org/10.3892/ol.2018.8345
Copy and paste a formatted citation
x
Spandidos Publications style
Li J, Ren H, Du G and Jin B: A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors. Oncol Lett 15: 7846-7854, 2018.
APA
Li, J., Ren, H., Du, G., & Jin, B. (2018). A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors. Oncology Letters, 15, 7846-7854. https://doi.org/10.3892/ol.2018.8345
MLA
Li, J., Ren, H., Du, G., Jin, B."A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors". Oncology Letters 15.5 (2018): 7846-7854.
Chicago
Li, J., Ren, H., Du, G., Jin, B."A systematic surgical procedure: The ̔7+3̓ approach to laparoscopic right partial hepatectomy [deep segment (S) VI, S VII or S VIII] in 52 patients with liver tumors". Oncology Letters 15, no. 5 (2018): 7846-7854. https://doi.org/10.3892/ol.2018.8345
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