BACKGROUND: To evaluate the indications and results of mesohepatectomy, a rare and challenging procedure. METHODS: Study of three patients with central liver tumours and an associated parenchimal disfunction were submitted to mesohepatectomy. During resection, a glissonian approach to segmental liver pedicles was employed, avoiding hepatic hilum clamping. RESULTS: Only one patient received blood transfusion during the operation. Median operative time was four hours. There were no postoperative complications and the mean hospital discharge was at the sixth day. CONCLUSIONS: Mesohepatectomy is a technically demanding procedure that can be standardized and safely performed in patients with central liver tumours and associated liver disease. Parenchimal preservation represents an important role for patients' good outcome and the glissonian approach is a usefull procedure for central resection and to avoid liver ischemia.
Hepatectomy; Liver neoplasms; Liver diseases
