This video describes a right hemihepatectomy with intrahepatic transection of the right hemipedicle leaving the hepatoduodenal ligament completely untouched.
Surgical Technique
Hemihepatectomies are mostly performed after preparing the extrahepatic hilar structures within the hepatoduodenal ligament, even in benign tumours or liver metastasis.1-5 In various centers, the parenchymal transection is performed under complete or selective hilar vascular occlusion. Major disadvantages of these procedures are the complex preparation of the hilus with the risk of injuring contralateral structures and the possibility of bleeding from portal vein side-branches or impaired perfusion of bile ducts.
This feasible technique of right hemihepatectomy or resection of the left lateral segments with intrahepatic transection of the pedicle leaves the hepatoduodenal ligament completely untouched.
This approach can be used in those liver tumours, where lymphadenectomy is oncologically unnecessary, and in benign indications.