Influence of the Glissonean Pedicle Transection Approach in Spiegel Lobe-Preserving Left Hepatectomy on Spiegel Lobe Volume and Remnant Liver Functions

Background The extrahepatic surgical technique in liver resection can be divided into glissonean pedicle transection and glissonean separated transection approaches. In this study, we compared remnant liver function and liver regeneration involving the Spiegel lobe between these two approaches regar...

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Bibliographic Details
Published in:World journal of surgery 2020-09, Vol.44 (9), p.3079-3085
Main Authors: Kamitani, Naoki, Nomi, Takeo, Hokuto, Daisuke, Yoshikawa, Takahiro, Matsuo, Yasuko, Sho, Masayuki
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Aged, 80 and over
Cardiac Surgery
Female
General Surgery
Hepatectomy
Hepatectomy - methods
Humans
Liver
Liver - diagnostic imaging
Liver - surgery
Liver Function Tests
Liver Neoplasms - diagnosis
Liver Neoplasms - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Operative Time
Original Scientific Report
Portal vein
Regeneration
Surgery
Thoracic Surgery
Tomography, X-Ray Computed
Tumors
Vascular Surgery
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Summary:Background The extrahepatic surgical technique in liver resection can be divided into glissonean pedicle transection and glissonean separated transection approaches. In this study, we compared remnant liver function and liver regeneration involving the Spiegel lobe between these two approaches regarding Spiegel lobe-preserving left hepatectomy. Methods We enrolled 31 patients who underwent Spiegel lobe-preserving left hepatectomy for malignant hepatobiliary diseases between April 2008 and January 2020. The postoperative Spiegel lobe volume was measured using a volume analyzer at 3 and 6 months postoperatively. Results Of the 31 patients, 22 and 9 were included in the glissonean separated transection and glissonean pedicle transection groups, respectively. There was no significant between-group difference in the preoperative Spiegel lobe volume. However, the volumes at 3 and 6 months postoperatively were significantly larger in the glissonean pedicle transection group than in the glissonean transection group (29.92 mL vs. 13.00 mL; P  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-020-05548-5