Updates and Critical Insights on Glissonian Approach in Liver Surgery
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/3211 |
Resumo: | Recent advances in surgical techniques have broadened the indications of surgical management of liver malignancies. Intraoperative bleeding is one of the known predictors of postoperative outcomes following liver surgery, signifying the importance of vascular control during liver resection. Furthermore, preservation of future liver remnant plays a critical role in prevention of post-hepatectomy liver failure as one of the main causes of postoperative morbidity and mortality. Glissonian approach liver resection offers an effective method for vascular inflow control while protecting future liver remnant from ischemia-reperfusion injury. Several studies have demonstrated the feasibility of Glisson's pedicle resection technique in modern liver surgery with an acceptable safety profile. Moreover, with increasing popularity of minimally invasive surgery, laparoscopic liver resection via Glissonian approach has been shown to be superior to standard laparoscopic hepatectomy. Herein, we systematically review the role of Glissonian approach hepatectomy in current practice of liver surgery, highlighting its advantages and disadvantaged over other methods of vascular control. |
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Updates and Critical Insights on Glissonian Approach in Liver SurgeryHCC CIRBlood Loss, Surgical/prevention & controlHepatectomy/methodsLaparoscopy/methodsLiver Neoplasms/surgeryReperfusion Injury/prevention & controlRecent advances in surgical techniques have broadened the indications of surgical management of liver malignancies. Intraoperative bleeding is one of the known predictors of postoperative outcomes following liver surgery, signifying the importance of vascular control during liver resection. Furthermore, preservation of future liver remnant plays a critical role in prevention of post-hepatectomy liver failure as one of the main causes of postoperative morbidity and mortality. Glissonian approach liver resection offers an effective method for vascular inflow control while protecting future liver remnant from ischemia-reperfusion injury. Several studies have demonstrated the feasibility of Glisson's pedicle resection technique in modern liver surgery with an acceptable safety profile. Moreover, with increasing popularity of minimally invasive surgery, laparoscopic liver resection via Glissonian approach has been shown to be superior to standard laparoscopic hepatectomy. Herein, we systematically review the role of Glissonian approach hepatectomy in current practice of liver surgery, highlighting its advantages and disadvantaged over other methods of vascular control.Springer VerlagRepositório do Centro Hospitalar Universitário de Lisboa Central, EPEMoris, DRahnemai-Azar, AATsilimigras, DINtanasis-Stathopoulos, IPinto Marques, HSpartalis, EFelekouras, EPawlik, TM2019-03-21T12:13:37Z20182018-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/3211engJ Gastrointest Surg. 2018 Jan;22(1):154-163.10.1007/s11605-017-3613-9info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:41:49Zoai:repositorio.chlc.min-saude.pt:10400.17/3211Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:32.420263Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
title |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
spellingShingle |
Updates and Critical Insights on Glissonian Approach in Liver Surgery Moris, D HCC CIR Blood Loss, Surgical/prevention & control Hepatectomy/methods Laparoscopy/methods Liver Neoplasms/surgery Reperfusion Injury/prevention & control |
title_short |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
title_full |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
title_fullStr |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
title_full_unstemmed |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
title_sort |
Updates and Critical Insights on Glissonian Approach in Liver Surgery |
author |
Moris, D |
author_facet |
Moris, D Rahnemai-Azar, AA Tsilimigras, DI Ntanasis-Stathopoulos, I Pinto Marques, H Spartalis, E Felekouras, E Pawlik, TM |
author_role |
author |
author2 |
Rahnemai-Azar, AA Tsilimigras, DI Ntanasis-Stathopoulos, I Pinto Marques, H Spartalis, E Felekouras, E Pawlik, TM |
author2_role |
author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Moris, D Rahnemai-Azar, AA Tsilimigras, DI Ntanasis-Stathopoulos, I Pinto Marques, H Spartalis, E Felekouras, E Pawlik, TM |
dc.subject.por.fl_str_mv |
HCC CIR Blood Loss, Surgical/prevention & control Hepatectomy/methods Laparoscopy/methods Liver Neoplasms/surgery Reperfusion Injury/prevention & control |
topic |
HCC CIR Blood Loss, Surgical/prevention & control Hepatectomy/methods Laparoscopy/methods Liver Neoplasms/surgery Reperfusion Injury/prevention & control |
description |
Recent advances in surgical techniques have broadened the indications of surgical management of liver malignancies. Intraoperative bleeding is one of the known predictors of postoperative outcomes following liver surgery, signifying the importance of vascular control during liver resection. Furthermore, preservation of future liver remnant plays a critical role in prevention of post-hepatectomy liver failure as one of the main causes of postoperative morbidity and mortality. Glissonian approach liver resection offers an effective method for vascular inflow control while protecting future liver remnant from ischemia-reperfusion injury. Several studies have demonstrated the feasibility of Glisson's pedicle resection technique in modern liver surgery with an acceptable safety profile. Moreover, with increasing popularity of minimally invasive surgery, laparoscopic liver resection via Glissonian approach has been shown to be superior to standard laparoscopic hepatectomy. Herein, we systematically review the role of Glissonian approach hepatectomy in current practice of liver surgery, highlighting its advantages and disadvantaged over other methods of vascular control. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018 2018-01-01T00:00:00Z 2019-03-21T12:13:37Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/3211 |
url |
http://hdl.handle.net/10400.17/3211 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
J Gastrointest Surg. 2018 Jan;22(1):154-163. 10.1007/s11605-017-3613-9 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Springer Verlag |
publisher.none.fl_str_mv |
Springer Verlag |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131301769379840 |