"Zoom Resection": A Two-Step Wedge Liver Resection Technique to Resect Deep Tumors and Spare Parenchyma

Abstract

middle hepatectomy (n=2), and right trisectionectomy (n=1) or extended left hepatectomy (n=1) with IVC resection and reconstruction. Two patients experienced PMC (Clavien-Dindo classification IIIa: n=1, IIIb: n=1). There was no in-hospital mortality. Six patients are currently alive without recurrence with a median followup of 24 months. PTT [median (range)] in the TB group was significantly shorter: 19 (13-45) compared to 52 (18-174) min in the basic group (p=0.012). There was no significant difference in terms of EBL (p=0.918) and PMC (p=0.771). Conclusions: TB with the Pringle maneuver and infrahepatic IVC clamping is feasible and may offer rapidity during high complexity major LR.