This Medical Video: Liver Metastasis Resection. A Technique That Makes It Easier.
Authors de Santibañes E, Sánchez Clariá R, Palavecino M, Beskow
A, Pekolj J. Background Liver resection is the only therapeutic
option that achieves long-term survival for patients with hepatic
metastases. We propose a tech...nique that causes traction and
counter traction on the resection area, thus easily exposing the
structures to be ligated. Since the parenchyma protrudes like a cork
from a bottle we named this procedure “Corkscrew Technique”.
Objective To describe an original surgical technique to resect
liver metastases. Technique We delimite the resection area at 2 cm
from the tumor. We place separated stitches, in a radiate way. The
needle diameter must allow passing far from the deepest margin of
the tumor. The stitches must be tractioned all together to separate
the tumor from the normal parenchyma. Material and Methods Between
years 1983 and 2006, we perform 1270 liver resection. We used the
corkscrew technique like only procedure in 612 patients whereas in
129 patients we associated it to an anatomic resection. Results
Mortality was 1%. Morbidity was 16% with a reoperation rate of 3%.
Conclusions The Corkscrew Technique is simple and safe, it spares
surgical time, avoids blood loss, ensures free tumor margins and it
is easy to perform.