Laparoscopic Donor Left Lateral Sectionectomy Using the Glissonean Pedicle Approach: Technical Details With Video.

ABSTRACT:

Introduction

Pure laparoscopy for living donor hepatectomy is gaining popularity due to its advantages. However, despite the long-standing application of laparoscopic donor left lateral sectionectomy, the dissection of the Glisson branch, portal vein, and biliary ducts, particularly those of the caudate lobe, remains insufficiently described. Although the Glissonean approach offers easy standardization for hilar dissection, clear landmarks for parenchymal transection, and reduces postoperative bile leakage, it has not been widely adopted in laparoscopic donor hepatectomy. Here, we introduce a modified Glissonean pedicle approach to address the movement restrictions in laparoscopic surgery.

Surgical technique

After liver mobilization, the Glisson of Spiegel lobe (G1L) was div

SUBMITTER: Hasegawa Y 

PROVIDER: S-EPMC11893216 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature