Mesohepatectomy: an Emerging Technique

Kattepur, Abhay K; Rohith, Sowmya; Shivaswamy, B. S.; Babu, Rajashekara; Santhosh, C; Prakash, B. V.

doi:10.1007/s13193-013-0253-8

Cited by 7 publications

(11 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Во всех работах, посвященных резекции центральных сегментов печени как у взрослых, так и у детей, описаны сходные по сравнению с РРП неблагоприятные факторы: увеличение времени оперативного вмешательства, большая кровопотеря, повышенный риск сосудистых и билиарных осложнений [9,24]. Влияние этих факторов обусловлено анатомической близостью структур портальных и кавальных ворот печени и наличием двух и более плоскостей разделения паренхимы [25,26].…”

Section: Discussionunclassified

The comparison of central hepatic segments resection versus extended hepatectomies outcomes in children with liver tumors

et al. 2021

View full text Add to dashboard Cite

Aim. To analyze the safety and advantages of central resection in comparison with extended hepatectomies. Methods. From June 2017 to May 2020 29 central and extended liver resections for children were performed. Central hepatic resections were carried out in 8, extended hepatectomies – in 21 patients. Preoperative investigations, intraoperative and postoperative data in both groups were analyzed.Results. The main indication for surgery was hepatoblastoma. Future liver remnant volume was significantly higher in central resections group (р = 0.003). No difference in median operative time (р = 0.94), intraoperative blood loss (р = 0.078) and blood transfusion rate (р = 0.057) were found between groups. There were no postoperative complications difference. Also no difference in hospital stay length (р = 0.3) were found.Conclusion. In comparison with extended procedures, central liver resection has similar complication rate. Central hepatectomy is a safe procedure in children with liver tumors, which allows to preserve more healthy parenchyma.

show abstract

Section: Discussionunclassified

The comparison of central hepatic segments resection versus extended hepatectomies outcomes in children with liver tumors

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Although this operation has existed for more than five decades and performed by more medical institutions in recent years, there was still no universal terminology of this surgical procedure 2 , 11 , 23 – 25 . Nearly ten different terms has been used to describe this operation 8 , 18 , 19 , 26 – 31 (Supplementary Table S9 ). To avoid confusion, we preferred to call this operation as mesohepatectomy, which was first strongly recommend by Wu 8 in 1999.…”

Section: Discussionmentioning

confidence: 99%

“…To avoid confusion, we preferred to call this operation as mesohepatectomy, which was first strongly recommend by Wu 8 in 1999. MH was first defined as the removal of the right anterior segment in continuity with the left medial segment by McBride 32 in 1972 and then defined as en bloc resection of Couinaud’s segments IV, V and VIII 8 or removal of liver segments drained by the middle hepatic vein 31 . The caudate lobectomy was first added to this operation for advanced gallbladder cancer to obtain a wide resection margin by Ogura et al .…”

Section: Discussionmentioning

confidence: 99%

Mesohepatectomy Versus Extended Hemihepatectomies for Centrally Located Liver Tumors: A Meta-Analysis

Wang

Song

et al. 2017

Sci Rep

View full text Add to dashboard Cite

The comparison of Mesohepatectomy (MH) with conventional extended hemihepatectomies (EH) for patients with centrally located liver tumors (CLLTs) were inconsistent. Our aims were to systemically compare MH with EH and to determine whether MH can achieve a similar clinical outcome as EH through this meta-analysis. PubMed/Medline, EMBASE, Web of Knowledge and Cochrane Library were searched updated to June 11, 2016. Blood loss and operation time favored MH in elder patients (mean difference [MD] for blood loss: −692.82 ml, 95% CI: −976.72 to −408.92 ml, P < 0.001; MD for operation time: −78.75 min, 95% CI: −107.66 to −49.81, P < 0.001). Morbidity rate (29.2%, 95% CI: 24.1 to 34.8%), mortality rate (2.0%, 95% CI: 1.2 to 3.3%) and overall survival (median OS 38.2 m, 95% CI: 34.0 to 42.8 m) of MH were comparable with those of EH. The low liver failure rate favored MH (odds ratio [OR]: 0.29, 95% CI: 0.09 to 0.88, P = 0.03). For MH, bile leakage was the most common surgical complication (MH vs. EH: 13.5% vs. 6.7%, P = 0.016), while for EH, it was wound infection (MH vs. EH: 6.9% vs. 15.7%, P < 0.001). Thus MH might be in general safe and feasible for treating CLLTs with a similar clinical outcome as EH.

show abstract

“…[2][3][4][5] As compared to extended hepatectomy, central hepatectomy (CH) may achieve oncologically equivalent results and preserve FLR in certain patients. [6][7][8][9][10][11][12] CH is a parenchyma-sparing procedure defined as en bloc resection of Couinaud segments 4a, 4b, 5 and 8 (i.e. right anterior and left medial sections) with or without resection of segment 1 (caudate lobe).…”

Section: Introductionmentioning

confidence: 99%

“…right anterior and left medial sections) with or without resection of segment 1 (caudate lobe). It is also known in the literature as mesohepatectomy, 5,6,8,9,[13][14][15][16] central bisectionectomy, 17,18 central bisegmentectomy 19,20 and central hepatic resection, 21,22 however there is currently no definition of this procedure in the Brisbane 2000 Nomenclature of Hepatic Anatomy and Liver Resections by the International Hepatopancreaticobiliary Association (IHPBA). 23,24 CH has been performed for CLLT including hepatocellular carcinoma (HCC), colorectal liver metastases (CLM) and cholangiocarcinoma (CCA).…”

Section: Introductionmentioning

confidence: 99%

The outcomes of central hepatectomy versus extended hepatectomy: a systematic review and meta-analysis

Chan

Perini

Fink

et al. 2018

HPB

View full text Add to dashboard Cite

show abstract

Mesohepatectomy: an Emerging Technique

Cited by 7 publications

References 7 publications

The comparison of central hepatic segments resection versus extended hepatectomies outcomes in children with liver tumors

The comparison of central hepatic segments resection versus extended hepatectomies outcomes in children with liver tumors

Mesohepatectomy Versus Extended Hemihepatectomies for Centrally Located Liver Tumors: A Meta-Analysis

The outcomes of central hepatectomy versus extended hepatectomy: a systematic review and meta-analysis

Contact Info

Product

Resources

About