医学
肝细胞癌
吲哚青绿
切除术
肝切除术
腹腔镜检查
放射科
外科
内科学
作者
Takeshi Aoki,Toru Koizumi,Doaa A. Mansour,A. Fujimori,Tomokazu Kusano,Kazuhiro Matsuda,Yoshihiko Tashiro,Makoto Watanabe,Koji Otsuka,Masahiko Murakami
标识
DOI:10.1016/j.jamcollsurg.2019.11.004
摘要
Anatomic liver resection (ALR) is an effective strategy for the management of hepatocellular carcinoma; it improves the overall survival rate and reduces local recurrence. 1 Makuuchi M. Hasegawa H. Yamazaki S. Ultrasonically guided subsegmentectomy. Surg Gynecol Obstet. 1985; 161: 346-350 PubMed Google Scholar The procedure, initially described by Makuuchi and colleagues, 2 Makuuchi M. Surgical treatment for HCC–special reference to anatomical resection. Int J Surg. 2013; 11: S47-S49 Crossref PubMed Scopus (26) Google Scholar ,3 Makuuchi M. Mori T. Gunvén P. et al. Safety of hemihepatic vascular occlusion during resection of the liver. Surg Gynecol Obstet. 1987; 164: 155-158 PubMed Google Scholar comprises the resection of all the liver parenchyma supplied by the portal branch to the tumor-harboring territory. Anatomic liver resection is a feasible, safe, and effective surgical modality 4 Hasegawa K. Kokudo N. Imamura H. et al. Prognostic impact of anatomic resection for hepatocellular carcinoma. Ann Surg. 2005; 242: 252-259 Crossref PubMed Scopus (502) Google Scholar that limits the spread of tumor cells along the segmental and intrasegmental portal branches, and therefore diminishes intrahepatic metastases and recurrence. 5 Makuuchi M. Imamura H. Sugawara Y. Takayama T. Progress in surgical treatment of hepatocellular carcinoma. Oncology. 2002; 62: 74-81 Crossref PubMed Scopus (64) Google Scholar ,6 Kim Y.K. Han H.S. Yoon Y.S. et al. Total anatomical laparoscopic liver resection of segment 4 (S4), extended S4, and subsegments S4a and S4b for hepatocellular carcinoma. J Laparoendosc Adv Surg Tech A. 2015; 25: 375-379 Crossref PubMed Scopus (15) Google Scholar
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