title: A new guide technique for limited partial hepatectomy using a transhepatic tube.
abstract: In order to maintain the adequate tumor margin in partial hepatectomy, we developed a new guide technique using a fine transhepatic tube. For instance, in a case of anterior segment tumor, a fine needle following a tube was inserted into the liver beside the anterior portal pedicle at hepatic hilus, and was put forward to the confluence of right and middle hepatic veins. After the needle was pulled out, both edges of the tube were tugged to the Rex Cantlie line. A separation was then started from the liver surface down to the transhepatic tube. Subsequently, the tube was pulled to the right side, and another separation was done. Adequate disease-free surgical margins were kept in thirteen out of 15 various types of partial hepatectomies. There were no complications including injury to the vessels and stabbing of the tumor. This technique facilitates cutting of the deep parenchyma.
authors.affiliation: Second Department of Surgery, University of Toyama, 2630 Sugitani, Toyama City, 930-0194, Japan. yamafumi@med.u-toyama.ac.jp
authors.forename: Fuminori
authors.initials: F
authors.lastname: Yamagishi
authors.forename: Takuya
authors.initials: T
authors.lastname: Nagata
authors.forename: Yasuharu
authors.initials: Y
authors.lastname: Ohnishi
authors.forename: Naoki
authors.initials: N
authors.lastname: Horikawa
authors.forename: Kazumaro
authors.initials: K
authors.lastname: Yamazaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Yuguchi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tazawa
authors.forename: Toru
authors.initials: T
authors.lastname: Yoshida
authors.forename: Tomoyasu
authors.initials: T
authors.lastname: Yoshino
authors.forename: Nariaki
authors.initials: N
authors.lastname: Sawada
authors.forename: Seiichi
authors.initials: S
authors.lastname: Morita
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Tsukada
mesh_terms: D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006498:Hepatectomy / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary / Q000601:surgery*; D008297:Male; D014463:Ultrasonography