| タイトル |
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Isolated paracaval subsegmentectomy of the caudate lobe of the liver.
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| 作成者 |
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| アクセス権 |
open access |
| 権利情報 |
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en
The original publication is available at www.springerlink.com
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| 主題 |
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Other
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Caudate lobe of the liver
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Other
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Paracaval portion of the liver
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Other
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Portal pedicle isolation technique
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Other
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Liver hanging maneuver
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Other
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Liver-splitting anterior approach
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NDC
494.5
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| 内容注記 |
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Other
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Figure 1 is missed
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Abstract
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Background The caudate lobe of the liver is divided into three subsegments based on the portal blood supply: the Spiegel lobe, the paracaval portion (S1r), and the caudate process. An isolated paracaval (S1r) subsegmentectomy is indicated for a small hepatocellular carcinoma localized within S1r. Because this challenging procedure has not been described, we report the details of successful surgical technique. Methods The portal pedicle isolation technique provides easy access to the S1r portal pedicle. A tape is passed along the midline of the anterior surface of the vena cava and its lower end is passed through the caudate parenchyma dorsoventrally to establish a landmark for the left border of S1r. A liver-splitting anterior approach is used to open the interlobar plane widely to the precaval tape. As exposing the vena cava and the root of the right hepatic vein, parenchymal dissection is advanced to the right and then, upward. Results The procedure was performed successfully in a 51-year-old man with hepatitis B who had a 2-cm hepatocellular carcinoma in S1r. Blood loss was 645 ml. Conclusions An isolated paracaval subsegmentectomy of the caudate lobe can be performed successfully, although it is likely to remain an uncommonly used procedure.
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| 出版者 |
en
Springer Berlin
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| 日付 |
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| 言語 |
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| 資源タイプ |
journal article |
| 出版タイプ |
AM |
| 資源識別子 |
HDL
http://hdl.handle.net/2115/15880
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| 関連 |
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isVersionOf
DOI
https://doi.org/10.1007/s00423-003-0366-6
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PMID
12942329
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| 収録誌情報 |
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PISSN
1435-2443
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EISSN
1435-2451
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Langenbeck s Archives of Surgery
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巻388
号3
開始ページ163
終了ページ166
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| ファイル |
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| コンテンツ更新日時 |
2023-07-26 |
