METHOD anatomical resection of liver segment IV

摘要

Method anatomical resection IV liver segment includes laparotomy J-shaped slit, liver mobilization, cholecystectomy, selection and crossing Glisson legs, wherein for allocating Glisson legs dissected cystic plate visualized base right paramedian sectoral Glisson legs layered fabric on the transition line of the peritoneum hepatoduodenal ligament in the liver capsule is formed an upper opening at the base of right leg shared by its upper edge, the bottom opening is formed right lateral cn igelevoy vein, exposing thereby the portal plate on both sides of the right common leg precisely dissector peeled liver parenchyma from the back surface of the portal plate right lobar legs and operate circular bypassing the latter, the reverse movement of the dissector is carried around the right common leg elastic tape whose lower end is behind hepatoduodenal ligament translate to the left, thereby forming a tourniquet around the left common leg layered fabric on the transition line into the peritoneal ligament hepatoduodenal apsulu liver at the site of the ramification right sector legs, then expose the portal plate at the bifurcation sectoral legs precisely dissector peeled liver parenchyma on its Glisson sheath produce circular circumvention right paramedian sectoral legs and reverse movement of the dissector is carried around the braid, sectioned sheet peritoneum between the lower edge of the left hepatic vein at its mouth and arantsievym duct, dissector produce precision-sequence detachment from liver parenchyma yk barrel