Right hepatic resection using anterior approach for large right hepatic tumor / 中华肝胆外科杂志

ABSTRACT

Objective To analyze the advantages of right hepatic resection using the anterior approach for large right hepatic tumors. Methods After initial control of the right liver hilum, liver parenchyma was transected along the ischemic plane down to the anterior surface of the inferior vena cava. All the small caval branches were individually ligated and divided. The right hepatic vein was then isolated, divided and sutured. Sequentially, the right hepatic lobe and tumor were mobilized from the right abdominal cavity in the usual manner and delivered. Results The anterior approach was used for right hepatic resection in 24 patients with huge right hepatic tumors from January 2000 to December 2006 in our hospital. The median size of the tumors was 15.7 cm. Intraoperative blood loss and blood transfusion volume were 734 ml and 620 ml, respectively. No major postoperative complications or hospital death occurred. Conclusion The anterior approach is a preferred technique for huge right hepatic tumors that are very difficult to resect in the conventional manner.