Pure Laparoscopic Anatomic Resection of the Segment 8 Dorsal Area Using the Dorsal Approach of the Right Hepatic Vein

Anatomical resection of segment 8 (s8) is a challenging procedure. S8 can be subdivided into two areas: ventral (s8v) and dorsal (s8d). In the last years, different approaches for performing laparoscopic s8 or any its subsegments have been described, i.e. hilar extrafascial approach, transfissural approach s8v, transparenchymal s8d, intrahepatic Glissonean approach. We recently described right hepatic vein (RHV) anatomical 7 resection. This video report describes to pedicle using RHV A 50-year-old woman with history morbid obesity sleep apnea was diagnosed after episodes hematochezia sigmoid cancer 2-cm liver metastases in according vascular reconstruction (Cella Medical Solutions, Murcia, Spain). The surgical technique started mobilization until root identified exposed craniocaudal fashion s8d clamped. Indocyanine green counterstaining depicted an intersegmental plane between 5 s8v. Transection continued anterior fissural at root, as landmark medial plane. Operative time lasted 265 min. carried out intermittent Pringle maneuver over period 81 Estimated blood loss 252 cc. There were no postoperative complications patient discharged on day 2. some cases, used pedicle, allowing this particular area.