Imaging of surgically relevant hepatic vascular and segmental anatomy. Part 2. Extent and resectability of hepatic neoplasms

Mukai, J; Stack, C. M.; Turner, DA; Matalon, T A; Gould, R J; Petasnick, J P; Doolas, A M; Murakami, Mineko

doi:10.2214/ajr.149.2.293

Cited by 23 publications

(3 citation statements)

References 8 publications

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“…The major role of imaging is to define the extent of the lesion and its relationship to lobar and segmental anatomy and vascular structures for preoperative planning and to monitor the response of the tumor to chemotherapy or radiation. 9,26 Most hepatic malignancies can be cured only with complete resection of the primary tumor or liver transplantation. 1,27 Four types of liver resection are performed to treat hepatoblastoma: right lobectomy, left lobectomy; left lateral segmentectomy; and trisegmentectomy (right lobe and medial segment of the left lobe).…”

Section: Primary Malignant Neoplasmsmentioning

confidence: 99%

Pediatric Liver Imaging

Siegel¹

2001

Semin Liver Dis

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The evaluation of hepatic diseases in children is often a multimodality process, requiring multiple imaging tests to determine the cause and extent of an abnormality. Ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI) have distinct roles to play in the evaluation of hepatic disease in children. This article addresses the hepatic and biliary lesions that are unique or more common in children and describes their cross-sectional imaging characteristics. In addition, the techniques and protocols for US, CT, and MRI are reviewed.

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Section: Primary Malignant Neoplasmsmentioning

confidence: 99%

Pediatric Liver Imaging

Siegel¹

2001

Semin Liver Dis

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“…hepatoduodenale [15]. Die segmentale Zuordnung stiitzt sich auf Schichten in H6he des ven6sen Konfluenz (Abb.…”

Section: Prdoperative Untersuchungenunclassified

“…Dadurch werden generelle Resektabilit/itsbeurteilung und individuelle Verfahrenswahl erleichtert[15]. 1 a, b. Prfioperative bildgebende Diagnostik: a Befundskizze nach pr/ioperativer Sonographie, b CT-Scan in der Ebene des ven6sen Konfiuenz mit peripherer gelegener Metastase von Segment VIII, Abstand von 1 cm zu einem rechten Seitenast der mittleren Lebervene; leicht dorsal gerichteter Verlauf der rechten intersegmentalen Fissur (T) Abb.…”

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Die gef��orientierte Segmentresektion der Leber

Scheele¹

1990

Langenbecks Arch Chir

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Complete surgical resection represents the only treatment for malignant tumors of the liver which offers the chance of long-term tumor-free survival. From this oncological perspective the segment orientated approach appears to be a valuable supplement of traditional hepatic surgery. It minimizes incomplete tumour removal, and prevents a waste of non-involved hepatic tissue. This combination of optimum local radicality and maximum parenchyma preservation also reduces operative risk. Various modern diagnostic and surgical aids such as intraoperative ultrasound, liver transection using the ultrasonic aspirator, and control of bleeding by means of infrared coagulation or fibrin tissue adhesive, all do considerably support this individualized surgical approach. However, the practical application is essentially based on the intrahepatic vasculature and the thereby defined segmental anatomy. The sequence of the operative proceeding will be illustrated for different mono- and polysegmentectomies.

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