M. Tsugita et al., RIGHT SIDE HEPATIC RESECTION UNDER RIGHT THORACOABDOMINAL INCISION WITH SPECIAL REFERENCE TO A HIGHLY ANATOMICAL SYSTEMATIZED METHOD, International surgery, 80(3), 1995, pp. 242-246
The results of 31 right side hepatic resections approached through tho
racoabdominal incision are described, with emphasis on the benefit of
the approach and systematized liver resection, Regarding postoperative
mortality rate (0%) and morbidity rate (32.3%), the thoracoabdominal
approach for right side hepatic resection seemed as safe and effective
as the conventional abdominal approach, Even though there were no sig
nificant differences in the complications, the fluctuation of alanine
aminotransferase and the hospital stay, the average operation time for
the right segmentectomy through the thoracoabdominal approach was 1.3
hours less (p=0.0078) than that of the abdominal approach, Technicall
y, this approach was accomplished in almost the same fashion as in the
abdominal approach by the utilization of systematized hepatic resecti
on. Thoracotomy itself was not more harmful than the abdominal approac
h, even in patients with impaired liver function, This combination cou
ld take the advantage of a shorter operation time.