Hepatectomy with Takasaki's procedure: Technique and results

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Abstract

Objective: This study aims to explore the short-term results of hepatectomy with Takasaki’s procedure.

Methods: We retrospectively examined data of 307 patients who underwent hepatectomy with Takasaki’s procedure at Hue Central Hospital from 01/2017 to 12/2023.

Results: The mean age was 55,3 ± 11,7 years (25 - 80) and the male/female ratio was 6:1. Patients with solitary tumor accounted for 79,2% and 68.4% had tumor size greater than 5 cm. Pringle maneuver was used in 57.9%, while selective right or left Glissonean pedicle occlusion was used in 69% and 31%, respectively. Final transection surface reinforcement was achieved by Surgicel and BioGlue in 78,8% and 21,2% of cases, respectively. Major liver resection accounted for 69,2%. The mean total operative time was 125,2 (90 - 280) minutes. Mean operative blood loss was 271 ± 119 (150 - 650) mL. Mean post-operative hospital stay was 8,6 days (7 - 23). Post-operative complication rate was 5.9% and mortality rate was 0,3%.

Conclusion: Hepatectomy with Takasaki procedure is safe, effective.

https://doi.org/10.38103/jcmhch.16.7.12

References

Ton That T and Nguyen Duong Q. A New Technique for Operating on the Liver. The Lancet. 1963; 281(7274): 192-193.

Makuuchi M, Hasegawa H, and Yamazaki S. Ultrasonically guided subsegmentectomy. Surgery, Gynecology & Obstetrics. 1985; 161(4): 346-350.

Yamamoto M, et al. Effectiveness of systematized hepatectomy with Glisson’s pedicle transection at the hepatic hilus for small nodular hepatocellular carcinoma: retrospective analysis. Surgery. 2001; 130(3): 443-448.

Kudo M, et al. Liver cancer working group report. Japanese Journal of Clinical Oncology. 2010; 40(suppl_1): i19-i27.

Long TCD, Thuận NĐ, Bắc NH, Đạt LT, and Việt ĐQ. Áp dụng kỹ thuật phẫu tích cuống Glisson ngả sau trong cắt gan theo giải phẫu điều trị ung thư tế bào gan. Tạp chí Y học Thành phố Hồ Chí Minh. 2013; 1(17): 48-53.

Yamamoto M, Katagiri S, Ariizumi S-i, Kotera Y, and Takahashi Y. Glissonean pedicle transection method for liver surgery (with video). Journal of Hepato-Biliary-Pancreatic Sciences. 2012; 19: 3-8.

Van Linh H and Thanh DN. Glissonean pedicle approach using Takasaki method in liver resection at Hue Central Hospital. Journal of Clinical Medicine. 2019; 54:8-11.

Van Ha Q, Nguyen TH, Van Nguyen H, Le XA, and Tran KH. Hepatectomy using a combination of extrafascial extrahepatic (Takasaki approach) and extrafascial intrahepatic pedicle approaches (Ton That Tung approach). Journal of Surgical Case Reports. 2021; 2021(10): rjab419.

Karamarković A, Juloski J, Ćuk V, and Janković U. The Importance of the Glissonean Approach and Laennec Capsule Concept in Open Anatomical Liver Resections: What We Need to Know. Surgical Gastroenterology. 2020; 2: 93-100.

Ciria R, Ayllón MD, and Briceño J. Liver gates to access everywhere in the liver: how can we learn? Digestive Medicine Research. 2023; 6:5-8.

Published 03-12-2024
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Language
Issue Vol. 16 No. 7 (2024)
Section Original article
DOI 10.38103/jcmhch.16.7.12
Keywords Cuống Glisson, cắt gan, gan Glissonean pedicle, hepatectomy, liver

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Copyright (c) 2024 Journal of Clinical Medicine Hue Central Hospital

Ho, V. L., & Pham, N. H. (2024). Hepatectomy with Takasaki’s procedure: Technique and results. Journal of Clinical Medicine Hue Central Hospital, 16(7), 80–84. https://doi.org/10.38103/jcmhch.16.7.12