Application of liver visualization technologies in hilar tumor resection at the second hepatic portal area

• Published in: Chung-hua wai kʿo tsa chih Vol. 54; no. 9; p. 675
• Main Authors: Li, P P, Liu, H, Fu, S Y, Lin, C, Pan, Z Y, Zhang, J, Ni, J S, Yuan, S X, Zhou, W P
• Format: Journal Article
• Language: Chinese
• Published: China 01-09-2016
• Subjects: Aged; Carcinoma, Hepatocellular - diagnostic imaging; Carcinoma, Hepatocellular - surgery; Female; Fluoroscopy; Hemorrhage; Hepatectomy - methods; Hepatic Veins; Humans; Ligation; Liver Neoplasms - diagnostic imaging; Liver Neoplasms - surgery; Male; Middle Aged; Portal Vein; Postoperative Complications; Retrospective Studies; Vena Cava, Inferior
• ISSN: 0529-5815
• DOI: 10.3760/cma.j.issn.0529-5815.2016.09.006

To discuss the application of liver visualization technology in complex liver tumor resection at the second hepatic portal area.
Clinical data of 80 cases who received surgery at the second hepatic portal area from August 2014 to September 2015 in the Third Department of Hepatic Surgery of Eastern Hepatobiliary Surgery Hospital were analyzed retrospectively. There were 58 male and 22 female patients aged from 21 to 70 years with median age of 52 years. Median maximum diameter of tumor was 7.6 cm (3.0 to 17.0 cm). Before surgery, liver dimensional graphics produced by liver visualization technology were taken on all patients to observe the relationship between intrahepatic vasculars and the liver tumor, and to calculate the intended resection range and the remaining liver volume in order to make a proper surgery plan. Suitable hepatic vascular occlusion was applied in the tumor resection. Intrahepatic vessel shape and variation, surgical operation, surgical operation time, manner and time of hepatic vascular o