Anatomical hepatic resection of segment VIII with preoperative 3-dimensional volumetry using SYNAPSE VINCENT and ultrasound-guided vessel compression: report of a case.

shinji itoh, Shunji Kohnoe, Daisuke Yoshida, Takuhiro Nishida, Hirofumi Kawanaka, Tetsuo Ikeda, Masaru Morita, Yuji Soejima, Hideaki Uchiyama, Hiroshi Saeki, Yo Ichi Yamashita, Ken Shirabe, Yoshihiko Maehara

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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.

Original languageEnglish
Pages (from-to)424-429
Number of pages6
JournalFukuoka igaku zasshi = Hukuoka acta medica
Volume104
Issue number11
Publication statusPublished - Jan 1 2013

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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    itoh, S., Kohnoe, S., Yoshida, D., Nishida, T., Kawanaka, H., Ikeda, T., Morita, M., Soejima, Y., Uchiyama, H., Saeki, H., Yamashita, Y. I., Shirabe, K., & Maehara, Y. (2013). Anatomical hepatic resection of segment VIII with preoperative 3-dimensional volumetry using SYNAPSE VINCENT and ultrasound-guided vessel compression: report of a case. Fukuoka igaku zasshi = Hukuoka acta medica, 104(11), 424-429.