A Novel Simple Technique for Performing Anatomical Right Posterior Sectionectomy of the Liver: the Ultrasound-Guided Finger Compression
A novel technique for the demarcation of the resection area by means of IOUS-guided finger
compression to accomplish a right posterior sectionectomy is described. Dissection or
encirclement of the sectional pedicles for resection area demarcation is thus avoided. Ten
patients underwent this technique successfully without mortality or major morbidity.
IOUS-guided finger compression of sectional portal pedicle feeding the right posterior
section is a feasible, safe, and effective method.
- Patients with tumors at least at 1 cm distally to the bifurcation of the right portal
vein (bifurcation of P5-8 and P6-7) eligible for right posterior sectionectomy,
namely the anatomical removal of segment 6 and 7, were considered potential
candidates to this procedure. Precisely, these criteria were adopted:
- Patients with hepatocellular carcinoma (HCC) with infiltrative growing pattern
in contact with P6-7;
- Patients with any type of HCC in contact with P6-7 with distal bile duct
- Patients with colorectal liver metastasis (CLM) in contact with P6-7.
- Exclusion criteria for carrying out the herein described procedure was considered the
presence of tumoral thrombosis in P6-7.
Type of Study:
Observational Model: Cohort, Time Perspective: Prospective
The primary outcome is the safety of the anatomical right posterior sectionectomy performed IOUS-guided finger compression.
Outcome Time Frame:
Guido Torzilli, MD, PhD
University of Milan School of Medicine, IRCCS Istituto Clinico Humanitas
Italy: The Italian Medicines Agency
- Colorectal Liver Metastases
- Hepatocellular Carcinoma
- Liver Malignancies
- Colorectal liver metastasis
- hepatocellular carcinoma
- liver surgery
- intraoperative ultrasound
- Neoplasm Metastasis
- Liver Neoplasms
- Carcinoma, Hepatocellular