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Right hemihepatectomy new

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Anatomy Perioperative management Technique Complications Evidence Total Video

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Laparotomy
Dividing the falciform ligament
Freeing the liver
Exposing the inferior vena cava
Resecting the gallbladder
Local findings
Exposing the hepatoduodenal ligament
Lymphadenectomy
Vessel ligation
Ischemic demarcation
Dividing the hepatic parenchyma
Dividing the right hepatic vein
Dividing the right hepatic duct
Checking for bile leakage, resecting the gallbladder
Checking for hemostasis
Sealing and draining
Reattaching the ligamentum teres hepatis
Closing the abdominal wall

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Laparotomy

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Transverse right epigastric incision with careful hemostasis, in the midline carried to the xyphoid process; exploration of the abdominal cavity; after covering the wound edges with moist surgical towels insert the retractor system.

Dividing the falciform ligament

After ruling out extrahepatic metastasis divide the falciform ligament. ... - Operations in general

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Laparotomy
Dividing the falciform ligament
Freeing the liver
Exposing the inferior vena cava
Resecting the gallbladder
Local findings
Exposing the hepatoduodenal ligament
Lymphadenectomy
Vessel ligation
Ischemic demarcation
Dividing the hepatic parenchyma
Dividing the right hepatic vein
Dividing the right hepatic duct
Checking for bile leakage, resecting the gallbladder
Checking for hemostasis
Sealing and draining
Reattaching the ligamentum teres hepatis
Closing the abdominal wall