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Titlebook: Glissonean Pedicles Approach in Minimally Invasive Liver Surgery; Benedetto Ielpo,Edoardo Rosso,Alessandro Anselmo Book 2023 The Editor(s)

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Main Instruments for Hepatic Transection and Minimally Invasive Pedicle Dissectioncements in perioperative treatment and a better understanding of liver anatomy. Another key aspect in the management of intraoperative blood loss has been the innovation of instruments at the disposal of a hepatic surgeon. There are several publications, with different levels of evidence, reviewing
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Trocars and Patient Positionplanning. Thus, patient positioning and trocar placement according to the anatomical area and liver segments affected by the tumor must be carefully considered before any procedure, to allow safe and comfortable access for the operating surgeon. In right anterior segments and left resections, the pa
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Segment I Hepatectomyrgical intervention; however, it offers the possibility of both a radical anatomical resection and a sparing of the functional surrounding hepatic parenchyma. The following chapter presents surgical critical anatomy and technic for mini-invasive segment I resection with a particular focus on Glisson
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Segment IV Hepatectomycal ligament, and on the right, along the middle hepatic vein (MHV). The use of intraoperative ultrasound (IOUS) and of the negative staining by indocyanine green (ICG) administration are fundamental tools in order to correctly perform the removal of S4. The two lines of transections may be performe
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