Skip to main content
. 2023 Jun 14;109(10):2941–2952. doi: 10.1097/JS9.0000000000000559

Table 1.

Multilevel temporal annotations of RLLS.

Step Task Activity
S1 (Mobilization of the liver) T1 (Dissection of the round ligament) AA1 (Shears* dissect round ligament)
AB1 (Hook* dissects round ligament)
AC1 (Forceps* coagulate round ligament).
T2 (Dissection of the falciform ligament) AA2 (Shears dissect falciform ligament)
AB2 (Hook dissects falciform ligament).
T3 (Dissection of the left coronary ligament) AA3 (Shears dissect left coronary ligament)
AB3 (Hook dissects left coronary ligament)
AC2 (Forceps coagulate left coronary ligament).
T4 (Dissection of the left triangle ligament) AA4 (Shears dissect left triangle ligament)
AB4 (Hook dissects left triangle ligament)
AC3 (Forceps coagulate left triangle ligament).
T5 (Dissection of the hepatogastric ligament) AA5 (Shears dissect hepatogastric ligament)
AB5 (Hook dissects hepatogastric ligament)
AC4 (Forceps coagulate hepatogastric ligament).
S2 (Parenchymal transection) T6 (Transection of the liver parenchyma) AA6 (Shears dissect liver parenchyma)
AC5 (Forceps coagulate liver parenchyma)
AD2 (Stapler divides liver parenchyma)
AI1 (Clipper clip vessels).
T7 (Division of the Glissonian pedicles of Segments 2 and 3) AD1 (Stapler divides glissonian pedicles of Segments 2 and 3).
T8 (Division of the left hepatic vein) AD3 (Stapler divides left hepatic vein)
AI1 (Clipper clip vessels)
S3 (Hemostasis after transection) T9 (Hemostasis of the transected liver surface) AB6 (Hook coagulates liver parenchyma)
AC5 (Forceps coagulates liver parenchyma)
AF1 (Needle sutures liver parenchyma)
AG1 (Coagulator* coagulates liver parenchyma)
AH1 (BiClamp coagulates liver parenchyma).
T10 (Hemostasis of the perihepatic tissues) AC1 (Forceps coagulate round ligament)
AC4 (Forceps coagulate hepatogastric ligament).
S4 (Extraction and drainage) T11 (Package of the specimen) AE1 (Endobag packs resected specimen).
T12 (Drainage tubes placement) AJ1 (Drainage tube places in resected liver Bed).
*

Shears: Harmonic Ace Curved Shears, Hook: Permanent Cautery Hook, Forceps: Fenestrated Bipolar Forceps, Coagulator: Argon Beam Coagulator.