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Glissonian approach for anatomical parenchymal-sparing liver resections

Glissonian approach for anatomical parenchymal-sparing liver resections
Arrows indicate suprahilar incision, and dashed arrows indicate posterior incision.
(A) Suprahilar incision.
(B) Posterior incision.
(C) A curved clamp is passed through the tunnel and two tapes are retrieved. One tape is then passed behind the hepatoduodenal ligament toward the left so that both main pedicles are controlled.
(D) Left and right portal branches have been encircled.
From: Figueroa R, Laurenzi A, Laurent A, Cherqui D. Perihilar Glissonian approach for anatomical parenchymal sparing liver resections: Technical aspects: The taping game. Ann Surg 2018; 267:537. DOI: 10.1097/SLA.0000000000002100. Copyright © 2018. Reproduced with permission from Wolters Kluwer Health. Unauthorized reproduction of this material is prohibited.
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