ASO Author Reflections: Glissonian Approach is Useful in Robotic Liver Resections

Excerpt

Liver resection is the standard procedure for both primary and secondary liver neoplasms. Open liver resection is the gold standard for most procedures and has been performed with increased safety in recent years; however, the classic technique involves individual dissection of hilar structures and is useful for right and left hemihepatectomies. Anatomical second- or third-order resections, sectionectomies, or monosegmentectomies are less performed due to the difficulty of control segmental pedicles with hilar dissection. The Glissonian approach is a useful technique to perform anatomical and segmental liver resections and has been the subject of several technical reports, including ours.^1‐5 Based on small incisions at anatomical landmarks, we described a modification of this technique. This new approach allowed the highly selective control of Glissonian pedicles without hilar or parenchymal dissection with no ultrasound or cholangiography guidance.^4,5 In 2007, we described the Glissonian approach for laparoscopic liver resections.^6,7 …