Name: right hemihepatectomy by suprahilar intrahepatic transection of the right hemipedicle using a vascular stapler
Uploaded: 2010-01-25T16:30:00
Description: Watch this Scientific Journal Video about Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler at JoVE.com

手術手技<ol><li>患者は仰臥位での標準的な手術室の条件の下で層状と腹部全体がdesinfectedです。次に、患者は無菌シートで覆われている。 </li><li> &quot;逆L字型&quot;開腹術後に腹腔内に腹膜癌腫症を除外するために検討されている。その後、肝円索と靱帯falciformeはリガチャと電気メスで分けられています。 </li><li>肝靭帯の腹腔慎重双方向マニュアル探査の探査に続いて肝外のリンパ節転移を?...

<ol>
	<li>Belghiti, J., Noun, R., Zante, E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Portal+triad+clamping+or+hepatic+vascular+exclusion+for+major+liver+resection.+A+controlled+study.">Portal triad clamping or hepatic vascular exclusion for major liver resection. A controlled study.</a> Ann Surg. 224, 155-161 (1996).</li><li>Man, K., Fan, S. T., Ng, I. O. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Prospective+evaluation+of+Pringle+maneuver+in+hepatectomy+for+liver+tumors+by+a+randomized+study.">Prospective evaluation of Pringle maneuver in hepatectomy for liver tumors by a randomized study.</a> Ann Surg. 226, 704-711 (1997).</li><li>Wu, C. C., Hwang, C. R., Liu, T. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effects+and+limitations+of+prolonged+intermittent+ischaemia+for+hepatic+resection+of+the+cirrhotic+liver.">Effects and limitations of prolonged intermittent ischaemia for hepatic resection of the cirrhotic liver.</a> Br J Surg. 83, 121-124 (1996).</li><li>Figueras, J., Llado, L., Ruiz, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Complete+versus+selective+portal+triad+clamping+for+minor+liver+resections:+a+prospective+randomized+trial.">Complete versus selective portal triad clamping for minor liver resections: a prospective randomized trial.</a> Ann Surg. 241, 582-590 (2005).</li><li>Lesurtel, M., Selzner, M., Petrowsky, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=How+Should+Transection+of+the+Liver+Be+Performed?+A+Prospective+Randomized+Study+in+100+Consecutive+Patients:+Comparing+Four+Different+Transection+Strategies..">How Should Transection of the Liver Be Performed? A Prospective Randomized Study in 100 Consecutive Patients: Comparing Four Different Transection Strategies..</a> Ann Surg. 242, 814-823 (2005).</li><li>K&#246;nigsrainer, I., Steurer, W., Witte, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Liver+resection+without+hilus+preparation+and+with+selective+intrahepatic+hilus+stapling+for+benign+tumors+and+liver+metastasis.">Liver resection without hilus preparation and with selective intrahepatic hilus stapling for benign tumors and liver metastasis.</a> Langenbecks Arch Surg. 392, 485-488 (2007).</li><li>Nadalin, S., Li, J., Lang, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+White+test:+a+new+dye+test+for+intraoperative+detection+of+bile+leakage+during+major+liver+resection.">The White test: a new dye test for intraoperative detection of bile leakage during major liver resection.</a> Arch Surg. 143, 402-404 (2008).</li></ol>

Hemihepatectomiesがほとんどであっても良性腫瘍または肝転移で、肝十二指腸間膜内肝外の肺門の構造を準備した後に実行されています。1-5様々なセンターでは、実質切除が完全または選択的肝門部血管閉塞下で行われる。これらの手順の主要な欠点​​は、対側の構造を負傷のリスクと門脈の側枝や胆管の障害血流からの出血の可能性を持つ門の複雑な準備です。 ...

right hemihepatectomy by suprahilar intrahepatic transection of the right hemipedicle using a vascular stapler

成功した肝切除は、深い解剖学的知識と繊細な手術手技を必要とします。 Hemihepatectomiesは主であっても良性腫瘍または肝転移で、肝十二指腸間膜内肝外の肺門の構造を準備した後に実行されます。<sup&gt; 1月5日</sup&gt;。肝転移患者における肝門部のリンパ節転移がほとんどオカルトであるのに対し、地域の肝外のリンパ節郭清は、肝門部胆管癌、肝cholangio -細胞癌と肝細胞癌における腫瘍学的標準です。これらの手順の主要な欠点​​は、対側の構造を負傷のリスクと門脈の側枝や胆管の障害血流からの出血の可能性を持つ門の複雑な準備です。我々は完全にそのまま肝十二指腸間膜を残すその茎の肝切除と左横のセグメントの右側hemihepatectomyまたは切除の技術を開発した。<sup&gt; 6</sup靭帯の術中の可視化や触診では腫瘍の浸潤やリンパ節転移の疑いの場合&gt;しかし、、門を探求し、リンパ節郭清は行うべきである。

Watch this Scientific Journal Video about Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler at JoVE.com

Right Hemihepatectomy by Suprahilar Intrahepatic Transection of the Right Hemipedicle using a Vascular Stapler

このビデオでは、完全にそのまま肝十二指腸間膜を残して右hemipedicleの肝切除と右hemihepatectomyを説明します。

血管ホッチキスを使って右HemipedicleのSuprahilar肝内切除により右Hemihepatectomy

Successful hepatic resection requires profound anatomical knowledge and delicate surgical technique. Hemihepatectomies are mostly performed after ...

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Biology

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Oxidative stress has been implicated in a number of pathologic conditions including ischemia/reperfusion damage and sepsis. The concept of oxidative ...

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Milk, as the sole source of nutrition for the newborn mammal, provides the necessary nutrients and energy for offspring growth and development. It also ...

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デジタル画像相関を使用すると、血管の組織標本のローカル株を特徴づけるために、

Characterization of the mechanical behavior of biological and engineered soft tissues is a central component of fundamental biomedical research and ...

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血管内皮増殖因子の評価のための簡易バイオアッセイ

The analysis of receptor tyrosine kinases and their interacting ligands involved in vascular biology is often challenging due to the constitutive ...

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マウス冠動脈血管平滑筋細胞の単離

While the isolation and culture of vascular smooth muscle cells (VSMCs) from large vessels is well established, we sought to isolate and culture VSMCs ...

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血管周囲脂肪組織による変調に焦点を当てた孤立腸間膜動脈を用いた血管緊張応答性の評価

Altered vascular tone responsiveness to pathophysiological stimuli contributes to the development of a wide range of cardiovascular and metabolic ...

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Cyanobacteria are a diverse group of prokaryotic photosynthetic organisms that can be genetically modified for the renewable production of useful ...