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Utility of the hooking technique for cases of major hepatectomy

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Abstract

Currently, resective hepatic surgery should be considered an echoguided surgical procedure to guarantee conservative but radical resections. A simple and original technique guided by intraoperative ultrasonography, termed the “hooking technique,” had been described previously. It enables the ligation sites of the intrahepatic vessels during systematic segmentectomy to be chosen precisely. This report describes a further application of this technique to allow safe ligation of portal vein main branches invaded by tumor thrombi during major hepatectomies.

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Authors and Affiliations

  1. Liver Surgery Unit, 3rd Department of Surgery, University of Milan, Istituto Clinico Humanitas, IRCCS, Via Manzoni, 56, Rozzano, Milan, I-20089, Italy

    G. Torzilli, M. Montorsi, M. Donadon & P. Bianchi

  2. Hepatobiliary Surgery Unit, 1st Department of Surgery, Ospedale Maggiore di Lodi, Azienda Ospedaliera della Provincia di Lodi, Lodi, Italy

    G. Torzilli, A. Gambetti, D. Del Fabbro & N. Olivari

  3. Hepato–Biliary–Pancreatic Surgery Division, Artificial Organ and Transplantation Division, Department of Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

    M. Makuuchi

Authors
  1. G. Torzilli
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  2. M. Montorsi
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  3. A. Gambetti
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  4. D. Del Fabbro
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  5. M. Donadon
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  6. P. Bianchi
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  7. N. Olivari
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  8. M. Makuuchi
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Corresponding author

Correspondence to G. Torzilli.

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Torzilli, G., Montorsi, M., Gambetti, A. et al. Utility of the hooking technique for cases of major hepatectomy. Surg Endosc 19, 1156–1157 (2005). https://doi.org/10.1007/s00464-004-2232-1

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  • DOI: https://doi.org/10.1007/s00464-004-2232-1

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