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Title
1. Introduction
2. Incision and Access to the Abdominal Cavity
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a. Incision
b. Peritoneal Washing Cytology
c. Incision Extension
d. Xiphoid Process Removal
e. Round Ligament Isolation and Ligation
f. Continue Incision Extension
g. Wound Protection and Gallbladder Exposure
3. Evaluation of Tumor Extension
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a. Liver Ultrasonography
b. Rule Out Peritoneal Carcinomatosis
4. Kocher Maneuver
5. Lymphadenectomy
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a. Para-Aortic Lymphadenectomy
b. Level 8 Common Hepatic Artery Lymphadenectomy (Part 1)
c. Level 13 Retropancreatic Lymphadenectomy
d. Portal Vein Dissection
e. Level 8 Common Hepatic Artery Lymphadenectomy (Part 2 - Left)
f. Level 8 Common Hepatic Artery Lymphadenectomy (Part 2 - Right)
g. Cystic Duct Isolation
h. Cystic Duct Division
i. Level 12b Hepatoduodenal Ligament (Along the Common Bile Duct) Lymphadenectomy and Common Bile Duct Dissection
j. Cystic Artery Identification, Isolation, and Ligation
k. Hilar Dissection
l. Review of Progress and Anatomy
6. Partial Hepatectomy (Segments IVb and V Hepatic Resection)
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a. Right Liver Mobilization
b. US-Guided Liver Resection Line Marking
c. Liver Parenchyma Division
d. Surgical Specimen Examination
e. Hemostasis
7. Closure
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a. Drain 1 Placement
b. Transverse Incision Closure
c. Drain 2 Placement
d. Midline Incision Closure
e. Skin Closure
8. Post-op Remarks
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Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer
Shoichi Irie, MD
;
Mamiko Miyashita, MD
;
Yu Takahashi, MD
;
Hiromichi Ito, MD
Cancer Institute Hospital of JFCR, Tokyo
Tags:
General Surgery
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Authors
Shoichi Irie
Mamiko Miyashita
Yu Takahashi, MD
Hiromichi Ito, MD
Filmed At:
Cancer Institute Hospital of JFCR, Tokyo
Article Information
Publication Date
10/24/2024
Article ID
279
Production ID
0279
Volume
2024
Issue
279
DOI
https://doi.org/10.24296/jomi/279