Abstract
Hepatic surgery performed without a parenchyma-sparing policy carries relevant risks for patients’ survival due to the not negligible occurrence of postoperative liver failure. In particular, the coexistence of liver cirrhosis in most cases of hepatocellular carcinoma (HCC) has a considerable adverse effect on the surgical results. As a matter of fact, recent series are still associated with mortality rates above 5%, which is not negligible [1].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Liu CL, Fan ST, Lo CM, Wong Y, Ng IO, Lam CM, Poon RT, Wong J (2004) Abdominal drainage after hepatic resection is contraindicated in patients with chronic liver diseases. Ann Surg 239:194–201
Livraghi T, Giorgio A, Marin G et al (1995) Hepatocellular carcinoma and cirrhosis in 746 patients: long-term results of percutaneous ethanol injection. Radiology 197:101–108
Bruix J, Sherman M (2005) Practice Guidelines Committee, American Association for the Study of Liver Diseases. Management of hepatocellular carcinoma. Hepatology 42:1208–1236
Makuuchi M, Yamazaki S, Hasegawa H et al (1980) Ultrasonically guided liver surgery. Jpn J Ultrasonics in Med 7:45–49
Torzilli G, Montorsi M, Donadon M et al (2005) “Radical but conservative” is the main goal for ultrasonography-guided liver resection: prospective validation of this approach. J Am Coll Surg 201:517–528
Torzilli G, Montorsi M, Del Fabbro D, Palmisano A, Donadon M, Makuuchi M (2006) Ultrasonographically guided surgical approach to liver tumors involving the hepatic veins close to the caval confluence. Br J Surg 93:1238–246
Torzilli G, Palmisano A, Del Fabbro D et al (2007) Contrast-enhanced intraoperative ultrasonography during surgery for hepatocellular carcinoma in liver cirrhosis: is it useful or useless? A prospective cohort study of our experience. Ann Surg Oncol 14:1347–1355
Torzilli G, Del Fabbro D, Olivari N, Calliada F, Montorsi M, Makuuchi M (2004) Contrast-enhanced ultrasonography during liver surgery. Br J Surg 91:1165–1167
Terminology Committee of the International Hepato-Pancreato-Biliary Association (2000) The Brisbane 2000 Terminology of Liver Anatomy and Resections. HPB 2:333–339
Kokudo N, Bandai Y, Imanishi H et al (1996) Management of new hepatic nodules detected by intraoperative ultrasonography during hepatic resection for hepatocellular carcinoma. Surgery 119:634–640
Takigawa Y, Sugawara Y, Yamamoto J et al (2001) New lesions detected by intraoperative ultrasound during liver resection for hepatocellular carcinoma. Ultrasound Med Biol 27:151–156
Roncalli M, Roz E, Coggi G et al (1999) The vascular profile of regenerative and dysplastic nodules of the cirrhotic liver: implications for diagnosis and classification. Hepatology 30:1174–1178
Quaia E, Calliada F, Bertolotto M et al (2004) Characterization of focal liver lesions with contrast-specific US modes and a sulfur hexafluoride-filled microbubble contrast agent: diagnostic performance and confidence. Radiology 232:420–430
Takada T, Yasuda H, Uchiyama K, Hasegawa H, Shikata J (1990) Contrast-enhanced intraoperative ultrasonography of small hepatocellular carcinoma. Surgery 107:528–532
Kojiro M (2004) Focus on dysplastic nodules and early hepatocellular carcinoma: an Eastern point of view. Liver Transpl 10(2 Suppl 1):3–8
Hatanaka K, Kudo M, Minami Y et al (2008) Differential diagnosis of hepatic tumors: value of contrast-enhanced harmonic sonography using the newly developed contrast agent, Sonazoid. Intervirology 51(Suppl 1):61–69
Jarnagin WR, Bach AM, Winston CB et al (2001) What is the yield of intraoperative ultrasonography during partial hepatectomy for malignant disease? J Am Coll Surg 192:577–583
Cerwenka H, Raith J, Bacher H et al (2003) Is intraoperative ultrasonography during partial hepatectomy still necessary in the age of magnetic resonance imaging? Hepatogastroenterology 50:1539–1541
Torzilli G, Donadon M, Marconi M et al (2008) Systematic extended right posterior sectionectomy: a safe and effective alternative to right hepatectomy. Ann Surg 247:603–611
Torzilli G, Palmisano A, Procopio F, Botea F, Del Fabbro D, Montorsi M (2010) A new systematic small for size resection for liver tumors invading the middle hepatic vein at its caval confluence: the mini-mesohepatectomy. Ann Surg 251:33–39
Hasegawa K, Kokudo N, Imamura H et al (2005) Prognostic impact of anatomic resection for hepatocellular carcinoma. Ann Surg 242:252–259
Torzilli G, Makuuchi M (2004) Ultrasound-guided finger compression in liver subsegmentectomy for hepatocellular carcinoma. Surg Endosc 18:136–139
Torzilli G, Procopio F, Cimino M, Del Fabbro D, Palmisano A, Donadon M, Montorsi M (2010) Anatomical segmental and subsegmental resection of the liver for hepatocellular carcinoma: a new approach by means of ultrasound-guided vessel compression. Ann Surg 251:229–235
Torzilli G, Procopio F, Palmisano A, Cimino M, Del Fabbro D, Donadon M, Montorsi M (2009) New technique for defining the right anterior section intraoperatively using ultrasound-guided finger counter-compression. J Am Coll Surg. 209(2):e8–11
Takayama T, Makuuchi M, Watanabe K, Kosuge T, Takayasu K, Yamazaki S, Hasegawa H (1991) A new method for mapping hepatic subsegment: counterstaining identification technique. Surgery 109:226–229
Takasaki K, Kobayashi S, Tanaka S, Saito A, Yamamoto M, Hanyu F (1990) Highly anatomically systematized hepatic resection with Glissonean sheath code transection at the hepatic hilus. Int Surg 75:73–77
Launois B, Jamieson GG (1992) The posterior intrahepatic approach for hepatectomy or removal of segments of the liver. Surg Gynec Obstet 174:155–158
Strasberg S, Linehan DC, Hawkins WG (2008) Isolation of right main and right sectional portal pedicles for liver resection without hepatotomy or inflow occlusion. J Am Coll Surg 206:390–396
Onishi H, Kawarada Y, Das BC et al (2000) Surgical anatomy of the medial segment (S4) of the liver with special reference to bile ducts and vessels. Hepatogastroenterology 47:143–150
Torzilli G, Takayama T, Hui AM, Kubota K, Harihara Y, Makuuchi M (1999) A new technical aspect of ultrasound-guided liver surgery. Am J Surg 178:341–343
Kaibori M, Matsui Y, Hijikawa T, Uchida Y, Kwon AH, Kamiyama Y (2006) Comparison of limited and anatomic hepatic resection for hepatocellular carcinoma with hepatitis C. Surgery, 139(3):385–394
Kobayashi A, Miyagawa S, Miwa S, Nakata T (2008) Prognostic impact of anatomical resection on early and late intrahepatic recurrence in patients with hepatocellular carcinoma. J Hepatobiliary Pancreat Surg 15:515–521
Eguchi S, Kanematsu T, Arii S et al (2008) Comparison of the outcomes between an anatomical subsegmentectomy and a non-anatomical minor hepatectomy for single hepatocellular carcinomas based on a Japanese nationwide survey. Surgery 143:469–475
Cho YB, Lee KU, Lee HW et al (2007) Anatomic versus non-anatomic resection for small single hepatocellular carcinomas. Hepatogastroenterology, 54(78):1766–1769
Wakai T, Shirai Y, Sakata J, Kaneko K, Cruz PV, Akazawa K, Hatakeyama K (2007) Anatomic resection independently improves long-term survival in patients with T1-T2 hepatocellular carcinoma. Ann Surg Oncol 14:1356–1365
Tanaka K, Shimada H, Matsumoto C, Matsuo K, Nagano Y, Endo I, Togo S (2008) Anatomic versus limited nonanatomic resection for solitary hepatocellular carcinoma. Surgery 143:607–615
Torzilli G, Donadon M, Palmisano A et al (2007) Back-flow bleeding control during resection of right-sided liver tumors by means of ultrasound-guided finger compression of the right hepatic vein at its caval confluence. Hepatogastroenterology 54:1364–1367
Makuuchi M (1987) Abdominal intraoperative utrasonography. lgaku-Shoin, Tokyo-New York
Ogata S, Kianmanesh R, Belghiti J (2005) Doppler assessment after right hepatectomy confirms the need to fix the remnant left liver in the anatomical position. Br J Surg 92:592–595
Machi J, Staren ED (2004) Ultrasound for surgeons, 2nd edn Lippincott-Williams & Wilkins, Philadelphia
Torzilli G, Olivari N, Livraghi T, Di Candio G (1997) Ecografia in chirurgia: modalitĂ diagnostiche e terapeutiche. Poletto Editore, Milano
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Torzilli, G. (2011). Ultrasound-Guided Liver Resection for Hepatocellular Carcinoma. In: McMasters, K. (eds) Hepatocellular Carcinoma:. Springer, New York, NY. https://doi.org/10.1007/978-1-60327-522-4_10
Download citation
DOI: https://doi.org/10.1007/978-1-60327-522-4_10
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-60327-521-7
Online ISBN: 978-1-60327-522-4
eBook Packages: MedicineMedicine (R0)