New two-step wedge liver resection technique: “zoom resection” : A case report :A case report

Guillermo Pfaffen; Nicolas Ortiz; José Sotelo; Rodrigo Moran Azzi; Victor Serafini

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저자정보: Guillermo Pfaffen (Cuidad Autónoma de Buenos Aires) Nicolas Ortiz (Cuidad Autónoma de Buenos Aires) José Sotelo (Cuidad Autónoma de Buenos Aires) Rodrigo Moran Azzi (Cuidad Autónoma de Buenos Aires) Victor Serafini (Cuidad Autónoma de Buenos Aires)

저널정보: 한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제22권 제4호

발행연도: 2018.11

수록면: 412 - 415 (4page)

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Different surgical procedures have been described for the treatment of colorectal liver metastases. The appropriate surgical approach depends, among many other factors, on the relationship between liver metastases and suprahepatic veins. If possible, the detachment of colorectal liver metastasis from suprahepatic veins is a good alternative liver parenchyma sparing technique. In this study, we describe a new two-step wedge liver resection technique for colorectal liver metastases located between suprahepatic veins. Prior to resection, intraoperative ultrasound is employed in order to plan and guide both steps. Initially, we place stitches and resect a cylindrical piece of normal liver parenchyma above the tumor and suprahepatic veins. Next, we place stitches on the future specimen located between suprahepatic veins, then resect it. The main advantages of this procedure are the good visualization and vascular control that may be achieved during the detachment of the tumor from suprahepatic veins. We call this procedure “zoom resection” because its dynamics are similar to the workings of a photograph camera"s telescopic system. We present the case of a 55-year-old patient diagnosed with multiple colorectal liver metastases, one of which was resected through this technique.

#Metastasis #Liver #Wedge resection

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