Ultrasound-guided delimitation of the resection area

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Performance of hepatic surgery without a parenchyma-sparing strategy carries significant risks for patient survival because of the nonnegligible occurrence of postoperative liver failure. A key factor in modern hepatic surgery is use of intraoperative ultrasound (IOUS) not only to stage the disease but more importantly to guide resection. Indeed, with systematic use of IOUS, versatile dissection planes around tumors can be obtained with the aim of sparing important intrahepatic vascular structures and their normal parenchyma. Starting from some outlines of operative techniques in liver surgery, this chapter describes specifically the techniques for open hepatic transection using some crucial IOUS findings to define the area of resection.

Original languageEnglish
Title of host publicationOpen, Laparoscopic and Robotic Hepatic Transection: Tools and Methods
PublisherSpringer-Verlag Italia s.r.l.
Pages83-88
Number of pages6
ISBN (Print)9788847026223, 9788847026216
DOIs
Publication statusPublished - Jan 1 2012

Keywords

  • Anatomical resection
  • Cirrhosis
  • Colorectal liver metastasis
  • Conservative but radical surgery
  • Finger compression
  • Hepatic vein compression
  • Hepatocellular carcinoma
  • Intraoperative ultrasound
  • Nonanatomical resection
  • Resection guidance
  • Ultrasound-guided hepatic resection

ASJC Scopus subject areas

  • Medicine(all)

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