Anatomical Hepatic Resection of Segment VIII with Preoperative 3-Dimensional Volumetry using Synapse Vincent and Ultrasound-Guided Vessel Compression : Report of a Case

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  • Ito Shinji
    Department of Surgery, Tagawa Municipal Hospital
  • Kounoe Shunji
    Department of Surgery, Tagawa Municipal Hospital
  • Yoshida Daisuke
    Department of Surgery, Tagawa Municipal Hospital
  • Nishida Takuhiro
    Department of Surgery, Tagawa Municipal Hospital
  • Kawanaka Hirofumi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Ikeda Tetsuo
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Morita Masaru
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Soejima Yuji
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Uchiyama Hideaki
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Saeki Hiroshi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Yamashita Yoichi
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Shirabe Ken
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
  • Maehara Yoshihiko
    Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University

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Other Title
  • SYNAPSE VINCENTを用いた術前画像診断および術中超音波装置を用いた徒手的阻血法による肝S8亜区域切除術の1例

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Abstract

We report a case of 90-year-old patient who underwent preoperative 3-dimensional (3D) computed tomography (CT) volumetric analysis using SYNAPSE VINCENT imaging software and anatomical resection of segment VIII using ultrasound-guided vessel compression. Preoperative abdominal CT revealed a liver mass measuring 5.0 cm in diameter, and the patient was diagnosed with hepatocellular carcinoma. Liver function was preserved. Preoperative 3D volumetry using SYNAPSE VINCENT revealed the volume of the entire liver to be 1,339 mL and the volume of segment VIII to be 327 mL. Anatomical hepatic resection of segment VIII was performed using ultrasound-guided vessel compression. Operative duration was 372 min and estimated blood loss was 760 mL. Resected liver volume was 290 g. The patient's postoperative course was uneventful, and there has been no evidence of recurrence since the surgery.

Journal

  • 福岡醫學雜誌

    福岡醫學雜誌 104 (11), 424-429, 2013-11-25

    Fukuoka Medical Association

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