UPDATED TOPICS IN MINIMALLY INVASIVE ABDOMINAL SURGERY

100
Fig. 8. Hand assisted liver resection
Updated Topics in Minimally Invasive Abdominal Surgery
Hilar dissection can be tedious and difficult especially when there are extensive adhesions.
Major structures can be inadvertently injured and troublesome bleeding can be difficult to
deal with for the inexperienced surgeon. Extensive dissection in the hepatoduodenal
ligament is never necessary and can lead to devascularisation of the common hepatic duct or
remnant hepatic duct. For a right hepatectomy identification of major structures such as the
right hepatic artery (RHA), and right portal vein (RPV) can be approached either anteriorly