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Intraoperative echography for hepatic resection
Author(s) -
Miyagawa Shinichi,
Makuuchi Masatoshi,
Kawasaki Seiji
Publication year - 1995
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/bf02348734
Subject(s) - medicine , resection , radiology , orientation (vector space) , hepatectomy , blood flow , surgery , geometry , mathematics
Basic intraoperative ultrasonographic techniques for safe and accurate hepatic resection are described, with particular reference to understanding the locational relationships between tumors and intrahepatic vascular structures, echo guidance for needle puncture, portal area staining, orientation of the transected hepatic plane, evaluation of all tumors to be removed in the resected specimen, and assessment of blood flow and patency of reconstructed vessels. The use of this approach and the consequent selection of the most appropriate surgical techniques for the removal of multiple metastatic liver tumors are then described in three case reports.