Laparoscopic Right Hemihepatic Vascular Inflow Occlusion by Lowering of the Hilar Plate

2014 ◽  
Vol 24 (12) ◽  
pp. 833-836 ◽  
Author(s):  
Huanwei Chen ◽  
Fengjie Wang ◽  
Feiwen Deng ◽  
Zuojun Zhen ◽  
Eric C.H. Lai ◽  
...  
Keyword(s):  
2014 ◽  
Vol 13 (5) ◽  
pp. 508-512 ◽  
Author(s):  
Ying-Jun Chen ◽  
Zuo-Jun Zhen ◽  
Huan-Wei Chen ◽  
Eric CH Lai ◽  
Fei-Wen Deng ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
F. G. M. Poch ◽  
C. A. Neizert ◽  
B. Geyer ◽  
O. Gemeinhardt ◽  
S. M. Niehues ◽  
...  

AbstractMultibipolar radiofrequency ablation (RFA) is an advanced ablation technique for early stage hepatocellular carcinoma and liver metastases. Vessel cooling in multibipolar RFA has not been systematically investigated. The objective of this study was to evaluate the presence of perivascular vital cells within the ablation zone after multibipolar RFA. Multibipolar RFA were performed in domestic pigs in vivo. Three internally cooled bipolar RFA applicators were used simultaneously. Three experimental settings were planned: (1) inter-applicator-distance: 15 mm; (2) inter-applicator-distance: 20 mm; (3) inter-applicator-distance: 20 mm with hepatic inflow occlusion (Pringle maneuver). A vitality staining was used to analyze liver cell vitality around all vessels in the ablation center with a diameter > 0.5 mm histologically. 771 vessels were identified. No vital tissue was seen around 423 out of 429 vessels (98.6%) situated within the central white zone. Vital cells could be observed around major hepatic vessels situated adjacent to the ablation center. Vessel diameter (> 3.0 mm; p < 0.05) and low vessel-to-ablation-center distance (< 0.2 mm; p < 0.05) were identified as risk factors for incomplete ablation adjacent to hepatic vessels. The vast majority of vessels, which were localized in the clinically relevant white zone, showed no vital perivascular cells, regardless of vessel diameter and vessel type. However, there was a risk of incomplete ablation around major hepatic vessels situated directly within the ablation center. A Pringle maneuver could avoid incomplete ablations.


1992 ◽  
Vol 52 (3) ◽  
pp. 371-377 ◽  
Author(s):  
G.B. Hunt ◽  
R. Malik ◽  
C.R. Bellenger ◽  
M.R.B. Pearson
Keyword(s):  

Author(s):  
Yoshihiro Inoue ◽  
Toru Kuramoto ◽  
Masato Ota ◽  
Kazuya Kitada ◽  
Kensuke Fujii ◽  
...  

2004 ◽  
Vol 10 (2) ◽  
pp. 244-247 ◽  
Author(s):  
Charles M. Miller ◽  
Michele Masetti ◽  
Nicola Cautero ◽  
Fabrizio DiBenedetto ◽  
Augusto Lauro ◽  
...  

2020 ◽  
Vol 9 (3) ◽  
pp. 271-283
Author(s):  
Lucinda Shen ◽  
Zühre Uz ◽  
Joanne Verheij ◽  
Denise P. Veelo ◽  
Yasin Ince ◽  
...  

Gut and Liver ◽  
2012 ◽  
Vol 6 (4) ◽  
pp. 471-475 ◽  
Author(s):  
Mi-Hyun Park ◽  
June-Sik Cho ◽  
Byung Seok Shin ◽  
Gyeong Sik Jeon ◽  
Byungmo Lee ◽  
...  

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