Anatomical right posterior sectionectomy

A further expansion of the ultrasound-guided compression technique

Research output: Contribution to journalArticle

3 Citations (Scopus)

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 languageEnglish
Pages (from-to)91-95
Number of pages5
JournalUpdates in Surgery
Volume63
Issue number2
DOIs
Publication statusPublished - 2011

Fingerprint

Fingers
Morbidity
Neoplasms
Liver
Chronic Hepatitis
Blood Transfusion
Dissection
Fibrosis
Neoplasm Metastasis
Mortality

Keywords

  • Cirrhosis
  • Colorectal liver metastases
  • Finger compression
  • Hepatocellular carcinoma
  • Intraoperative ultrasound
  • Liver surgery
  • Sectionectomy

ASJC Scopus subject areas

  • Surgery

Cite this

@article{0f76999eb84c4034823ff88683baf7d5,
title = "Anatomical right posterior sectionectomy: A further expansion of the ultrasound-guided compression technique",
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.",
keywords = "Cirrhosis, Colorectal liver metastases, Finger compression, Hepatocellular carcinoma, Intraoperative ultrasound, Liver surgery, Sectionectomy",
author = "Guido Torzilli and Fabio Procopio and Matteo Donadon and Angela Palmisano and {Del Fabbro}, Daniele and Marco Montorsi",
year = "2011",
doi = "10.1007/s13304-011-0068-5",
language = "English",
volume = "63",
pages = "91--95",
journal = "Updates in Surgery",
issn = "2038-131X",
publisher = "Springer-Verlag Italia",
number = "2",

}

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 -