Abstract
Dissection or encirclement of the sectional pedicles for resection area demarcation is generally required for anatomical right posterior sectionectomy (RPS). These maneuvers are sometime unfeasible and potentially dangerous. A new technique for performing an RPS is herein described. Among the last 289 consecutive patients who underwent hepatic resection, 15 met the eligibility criteria for anatomical RPS by ultrasound-guided finger compression. This technique consists in demarcating the resection area by ultrasound-guided finger compression of the right posterior portal pedicle at the level closest to the tumor but oncologically suitable. Five patients had HCC; 11 had colorectal liver metastases. Median tumor number was 2 (range 1-46); median tumor size was 2.4 cm (range 0.4-13). Six patients had cirrhosis or chronic hepatitis, and ten had steatosis. Results show that the procedure resulted feasible in all eligible patients, and demarcation area was obtained in all patients within 1 min of bimanual IOUS guided compression. There was no mortality or major morbidity: only 2 (12%) patients experienced postoperative morbidity. Blood transfusions were not given. Ultrasound-guided finger compression of sectional portal pedicle feeding the right posterior section is a feasible, safe, and effective method, and introduces a new modality for performing RPS.
| Original language | English |
|---|---|
| Pages (from-to) | 91-95 |
| Number of pages | 5 |
| Journal | Updates in Surgery |
| Volume | 63 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - 2011 |
Fingerprint
Keywords
- Cirrhosis
- Colorectal liver metastases
- Finger compression
- Hepatocellular carcinoma
- Intraoperative ultrasound
- Liver surgery
- Sectionectomy
ASJC Scopus subject areas
- Surgery
Cite this
Anatomical right posterior sectionectomy : A further expansion of the ultrasound-guided compression technique. / Torzilli, Guido; Procopio, Fabio; Donadon, Matteo; Palmisano, Angela; Del Fabbro, Daniele; Montorsi, Marco.
In: Updates in Surgery, Vol. 63, No. 2, 2011, p. 91-95.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Anatomical right posterior sectionectomy
T2 - A further expansion of the ultrasound-guided compression technique
AU - Torzilli, Guido
AU - Procopio, Fabio
AU - Donadon, Matteo
AU - Palmisano, Angela
AU - Del Fabbro, Daniele
AU - Montorsi, Marco
PY - 2011
Y1 - 2011
N2 - Dissection or encirclement of the sectional pedicles for resection area demarcation is generally required for anatomical right posterior sectionectomy (RPS). These maneuvers are sometime unfeasible and potentially dangerous. A new technique for performing an RPS is herein described. Among the last 289 consecutive patients who underwent hepatic resection, 15 met the eligibility criteria for anatomical RPS by ultrasound-guided finger compression. This technique consists in demarcating the resection area by ultrasound-guided finger compression of the right posterior portal pedicle at the level closest to the tumor but oncologically suitable. Five patients had HCC; 11 had colorectal liver metastases. Median tumor number was 2 (range 1-46); median tumor size was 2.4 cm (range 0.4-13). Six patients had cirrhosis or chronic hepatitis, and ten had steatosis. Results show that the procedure resulted feasible in all eligible patients, and demarcation area was obtained in all patients within 1 min of bimanual IOUS guided compression. There was no mortality or major morbidity: only 2 (12%) patients experienced postoperative morbidity. Blood transfusions were not given. Ultrasound-guided finger compression of sectional portal pedicle feeding the right posterior section is a feasible, safe, and effective method, and introduces a new modality for performing RPS.
AB - Dissection or encirclement of the sectional pedicles for resection area demarcation is generally required for anatomical right posterior sectionectomy (RPS). These maneuvers are sometime unfeasible and potentially dangerous. A new technique for performing an RPS is herein described. Among the last 289 consecutive patients who underwent hepatic resection, 15 met the eligibility criteria for anatomical RPS by ultrasound-guided finger compression. This technique consists in demarcating the resection area by ultrasound-guided finger compression of the right posterior portal pedicle at the level closest to the tumor but oncologically suitable. Five patients had HCC; 11 had colorectal liver metastases. Median tumor number was 2 (range 1-46); median tumor size was 2.4 cm (range 0.4-13). Six patients had cirrhosis or chronic hepatitis, and ten had steatosis. Results show that the procedure resulted feasible in all eligible patients, and demarcation area was obtained in all patients within 1 min of bimanual IOUS guided compression. There was no mortality or major morbidity: only 2 (12%) patients experienced postoperative morbidity. Blood transfusions were not given. Ultrasound-guided finger compression of sectional portal pedicle feeding the right posterior section is a feasible, safe, and effective method, and introduces a new modality for performing RPS.
KW - Cirrhosis
KW - Colorectal liver metastases
KW - Finger compression
KW - Hepatocellular carcinoma
KW - Intraoperative ultrasound
KW - Liver surgery
KW - Sectionectomy
UR - http://www.scopus.com/inward/record.url?scp=84862733345&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84862733345&partnerID=8YFLogxK
U2 - 10.1007/s13304-011-0068-5
DO - 10.1007/s13304-011-0068-5
M3 - Article
VL - 63
SP - 91
EP - 95
JO - Updates in Surgery
JF - Updates in Surgery
SN - 2038-131X
IS - 2
ER -