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Liver Metastasis Resection
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  • Medical Video Title:  Liver Metastasis Resection
  • Channel:  Surgeries»
  • 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.
  • Tags:  Liver  Metastasis  Resection  
  • Added:  28-08-10  Views:  (3966)
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