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Intraoperative echography for hepatic resection

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Journal of Hepato-Biliary-Pancreatic Surgery

Abstract

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.

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Authors and Affiliations

  1. First Department of Surgery, Shinshu University, School of Medicine, 3-1-1 Asahi, 390, Matsumoto, Japan

    Shinichi Miyagawa, Masatoshi Makuuchi & Seiji Kawasaki

Authors
  1. Shinichi Miyagawa
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  2. Masatoshi Makuuchi
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  3. Seiji Kawasaki
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Miyagawa, S., Makuuchi, M. & Kawasaki, S. Intraoperative echography for hepatic resection. J Hep Bil Pancr Surg 2, 108–115 (1995). https://doi.org/10.1007/BF02348734

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  • DOI: https://doi.org/10.1007/BF02348734

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