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May 9, 2026Langenbeck s Archives of SurgeryOpen Access

Advanced liver dissection with left triangular ligament section for enhanced surgical access to right posterior lesions

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Authors

QCQuentin Chenevas-PauleCentre Hospitalier Universitaire de GrenobleSMSarah Moenne-LoccozCentre Hospitalier Universitaire de GrenobleGBGiorgio BianchiUniversité Paris-Est Créteil

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Implication

Randomized trial investigates enhanced surgical access through extensive liver dissection in cadaveric models, suggesting improved outcomes.

Key Points

  • This research aims to assess whether advanced liver dissection techniques enhance surgical access to right posterior lesions during laparoscopic liver resections.
  • Performed dissections using a formalin-preserved cadaveric model to measure liver rotation.
  • Defined three key dissection steps focusing on ligaments and the inferior vena cava.
  • Measured rotation angles using 30 newtons of traction applied via the round ligament.
  • 30 dissections conducted with progressive rotation angles measured at median values of 36°, 45°, 71°, and 87°.
  • Angulation gains observed between each surgical step included 9° [6-13], 19° [17-31], and 13° [10-21].
  • Negative correlation between liver weight and angle of rotation during later dissection steps.

Cite This Study

Chenevas-Paule et al. (2026) studied this question.

synapsesocial.com/papers/69fecf16b9154b0b82876223https://doi.org/10.1007/s00423-026-04044-z
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