{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:07:44Z","timestamp":1777921664062,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2024,3,1]],"date-time":"2024-03-01T00:00:00Z","timestamp":1709251200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Because of lack of an appropriate surgical approach, laparoscopic surgery in patients with left\/right Glisson pedicle involvement is still rarely conducted. This study aimed to discusses the methods of intrahepatic Glisson intrathecal dissection via a hepatic parenchymal transection-first approach for laparoscopic hemihepatectomy in patients with left\/right Glisson pedicle involvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We retrospectively analyzed the clinical data of 21 patients who underwent laparoscopic hepatectomy in the Second Affiliated Hospital, Third Military Medical University (Army Medical University) from March 2021 to May 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The mean age of the patients was 53.1\u2009\u00b1\u200911.6 years; mean operation time, 191.9\u2009\u00b1\u200922.3 minutes; median intraoperative blood loss, 205\u2009mL (160\u2013300\u2009mL); and median length of hospital stay, 8 days (7\u20139 days). None of the patients underwent conversion to open procedure. Thirteen patients had pathologically confirmed hepatocellular carcinoma (HCC) with portal tumor thrombi (PVTT), and 8 was confirmed hepatolithiasis. Intraoperative frozen pathology and final pathology showed tumor free surgical margins in HCC with PVTT patients. After conservative treatment, all the complications such as postoperative liver section effusion, pleural effusion, pneumonia, intra-abdomen bleeding, and bile leak were cured. During outpatient follow-up examination, no other abnormality was detected. All HCC with PVTT patients were treated with a tyrosine kinase inhibitor after the operation and survived tumor-free.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Proposed here is a more safe and feasible method of laparoscopic hemihepatectomy in patients with left\/right Glisson pedicle involvement, but many problems still needs further exploration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0302","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T12:33:07Z","timestamp":1705926787000},"page":"257-262","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Intrahepatic Glisson Intrathecal Dissection via a Hepatic Parenchymal Transection-First Approach for Laparoscopic Anatomical Hemihepatectomy in Patients with Left\/Right Glisson Pedicle Involvement"],"prefix":"10.1177","volume":"34","author":[{"given":"Nan","family":"You","sequence":"first","affiliation":[{"name":"Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University), Chongqing, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ke","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University), Chongqing, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yongkun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University), Chongqing, China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9198-4380","authenticated-orcid":false,"given":"Lu","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Hepatobiliary Surgery, The Second Affiliated Hospital, Third Military Medical University (Army Medical University), Chongqing, China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,3,1]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.08.015"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2022.106652"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08344-x"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-020-09525-z"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-019-04135-x"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-021-05181-0"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.10.024"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-020-05846-y"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-022-02289-8"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08998-7"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000004311"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-022-06574-1"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1212"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11185287"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2022.07.005"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1159\/000521827"},{"key":"e_1_3_4_18_2","first-page":"3306771","article-title":"Clinical value analysis of hepatectomy based on minimally invasive surgical imaging for hepatolithiasis","volume":"2022","author":"Zhang S","year":"2022","unstructured":"Zhang S, , Xing Z, , Zhou X, et al. Clinical value analysis of hepatectomy based on minimally invasive surgical imaging for hepatolithiasis. Evid Based Complement Alternat Med, 2022; 2022:3306771.","journal-title":"Evid Based Complement Alternat Med"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.1250"},{"issue":"7","key":"e_1_3_4_20_2","first-page":"8286","article-title":"Effect of controlled low central venous pressure technique on postoperative hepatic insufficiency in patients undergoing a major hepatic resection","volume":"13","author":"Wu G","year":"2021","unstructured":"Wu G, , Chen T, , Chen Z. Effect of controlled low central venous pressure technique on postoperative hepatic insufficiency in patients undergoing a major hepatic resection. 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