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  • Title
  • 1. Introduction
  • 2. Incision and Access to the Abdominal Cavity
  • 3. Evaluation of Tumor Extension
  • 4. Kocher Maneuver
  • 5. Lymphadenectomy
  • 6. Partial Hepatectomy (Segments IVb and V Hepatic Resection)
  • 7. Closure
  • 8. Post-op Remarks

Open Radical Cholecystectomy with Partial Hepatectomy for Gallbladder Cancer

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Shoichi Irie, MD; Mamiko Miyashita, MD; Yu Takahashi, MD; Hiromichi Ito, MD
Cancer Institute Hospital of JFCR, Tokyo

General SurgeryOncologic Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Incision and Access to the Abdominal Cavity Incision Peritoneal Washing Cytology Incision Extension Xiphoid Process Removal Round Ligament Isolation and Ligation Wound Protection and Gallbladder Exposure
      1. 3. Evaluation of Tumor Extent
        1. 4. Kocher Maneuver
          1. 5. Lymphadenectomy
            1. 6. Partial Hepatectomy (Segments IVb and V Hepatic Resection)
              1. 7. Closure
                1. 8. Post-op Remarks
                  1. Incision
                  2. Peritoneal Washing Cytology
                  3. Incision Extension
                  4. Xiphoid Process Removal
                  5. Round Ligament Isolation and Ligation
                  6. Continue Incision Extension
                  7. Wound Protection and Gallbladder Exposure
                  1. Liver Ultrasonography
                  2. Rule Out Peritoneal Carcinomatosis
                  1. Para-Aortic Lymphadenectomy
                  2. Level 8 Common Hepatic Artery Lymphadenectomy (Part 1)
                  3. Level 13 Retropancreatic Lymphadenectomy
                  4. Portal Vein Dissection
                  5. Level 8 Common Hepatic Artery Lymphadenectomy (Part 2 - Left)
                  6. Level 8 Common Hepatic Artery Lymphadenectomy (Part 2 - Right)
                  7. Cystic Duct Isolation
                  8. Cystic Duct Division
                  9. Level 12b Hepatoduodenal Ligament (Along the Common Bile Duct) Lymphadenectomy and Common Bile Duct Dissection
                  10. Cystic Artery Identification, Isolation, and Ligation
                  11. Hilar Dissection
                  12. Review of Progress and Anatomy
                  1. Right Liver Mobilization
                  2. US-Guided Liver Resection Line Marking
                  3. Liver Parenchyma Division
                  4. Surgical Specimen Examination
                  5. Hemostasis
                  1. Drain 1 Placement
                  2. Transverse Incision Closure
                  3. Drain 2 Placement
                  4. Midline Incision Closure
                  5. Skin Closure

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                  Authors

                  Filmed At:

                  Cancer Institute Hospital of JFCR, Tokyo

                  Article Information

                  Publication Date
                  Article ID279
                  Production ID0279
                  Volume2024
                  Issue279
                  DOI
                  https://doi.org/10.24296/jomi/279