Open Right Hepatic Trisegmentectomy with “Hanging” Maneuver + Portal Vein Reconstruction

A 76-year-old male patient presented with right-sided Hepatocellular carcinoma. On CT imaging, the mass extended medially to segments 4A and 4B. Additionally, there was evidence of a tumor thrombus at the right posterior sectoral portal vein just nudging into the main portal vein.

This video discusses imaging and gives a play-by-play of an open right hepatic trisegmentectomy with a liver “hanging” maneuver and portal vein reconstruction. Postoperative course and pathology are also discussed.

This video was produced by Drs. Juan Salazar, Daniel Aliseda, Jon Harrison, and Brendan Visser of Stanford University’s HPB Surgery Section.

For more information about Stanford University's Department of Surgery, please visit our website: surgery.stanford.edu

Видео Open Right Hepatic Trisegmentectomy with “Hanging” Maneuver + Portal Vein Reconstruction канала Stanford Surgery