In reply We want to thank Prof Batignani for his letter describing his personal experience with the left glissonian pedicles approach. As stressed by his letter, our technique for isolation of the left hepatic pedicle is always reliable and complete. We agree that sometimes the pedicles for each left liver segment may be located deep in the hepatic parenchyma. If one tries to dissect too far from the emergence of these pedicles, they may be faced with secondary branches resulting in incomplete ischemia of the corresponding left liver segment. This information is very important for readers. However, when faced with this problem, we encircled the main left portal pedicle and pulled it downward. This simple maneuver enhances the identification and further clamping of all left liver segmental glissonian sheaths, even the deepest ones. Correspondence: Dr Marcel Autran C. Machado, Al Casa Branca 438, 101-01408-000, São Paulo, Brazil (email@example.com).
Archives of Surgery – American Medical Association
Published: Aug 1, 2005
It’s your single place to instantly
discover and read the research
that matters to you.
Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.
All for just $49/month
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.
All the latest content is available, no embargo periods.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera