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Updates and Critical Insights on Glissonian Approach in Liver Surgery

dc.contributor.authorMoris, D
dc.contributor.authorRahnemai-Azar, AA
dc.contributor.authorTsilimigras, DI
dc.contributor.authorNtanasis-Stathopoulos, I
dc.contributor.authorPinto Marques, H
dc.contributor.authorSpartalis, E
dc.contributor.authorFelekouras, E
dc.contributor.authorPawlik, TM
dc.date.accessioned2019-03-21T12:13:37Z
dc.date.available2019-03-21T12:13:37Z
dc.date.issued2018
dc.description.abstractRecent 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.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationJ Gastrointest Surg. 2018 Jan;22(1):154-163.pt_PT
dc.identifier.doi10.1007/s11605-017-3613-9pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.17/3211
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringer Verlagpt_PT
dc.subjectHCC CIRpt_PT
dc.subjectBlood Loss, Surgical/prevention & controlpt_PT
dc.subjectHepatectomy/methodspt_PT
dc.subjectLaparoscopy/methodspt_PT
dc.subjectLiver Neoplasms/surgerypt_PT
dc.subjectReperfusion Injury/prevention & controlpt_PT
dc.titleUpdates and Critical Insights on Glissonian Approach in Liver Surgerypt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage163pt_PT
oaire.citation.issue1pt_PT
oaire.citation.startPage154pt_PT
oaire.citation.titleJournal of Gastrointestinal Surgerypt_PT
oaire.citation.volume22pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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