Laennec's Approach for Laparoscopic Anatomic Hepatectomy Based on Laennec Capsule

Abstract

Background: Although Glissonean pedicle isolation and hepatic vein isolation should be the critical procedure for anatomical liver resection (ALR), there is no standardized approach for the hepatic vein and Glissonean pedicles. We proposed the novel Laennec's approach for laparoscopic anatomic hepatectomy (LAH) based on Laennec's capsule, which serves as the key anatomic landmark for Glissonean pedicle and hepatic vein isolation, liver mobilization, and Hanging maneuver.