title: Anatomical hepatic resection of segment VIII with preoperative 3-dimensional volumetry using SYNAPSE VINCENT and ultrasound-guided vessel compression: report of a case.
abstract: We report a case of 90-year-old patient who underwent preoperative 3-dimensional (3D) computed tomography (CT) volumetric analysis using SYNAPSE VINCENT imaging software and anatomical resection of segment VIII using ultrasound-guided vessel compression. Preoperative abdominal CT revealed a liver mass measuring 5.0 cm in diameter, and the patient was diagnosed with hepatocellular carcinoma. Liver function was preserved. Preoperative 3D volumetry using SYNAPSE VINCENT revealed the volume of the entire liver to be 1,339 mL and the volume of segment VIII to be 327 mL. Anatomical hepatic resection of segment VIII was performed using ultrasound-guided vessel compression. Operative duration was 372 min and estimated blood loss was 760 mL. Resected liver volume was 290 g. The patient's postoperative course was uneventful, and there has been no evidence of recurrence since the surgery.
authors.forename: Shinji
authors.initials: S
authors.lastname: Itoh
authors.forename: Shunji
authors.initials: S
authors.lastname: Kohnoe
authors.forename: Daisuke
authors.initials: D
authors.lastname: Yoshida
authors.forename: Takuhiro
authors.initials: T
authors.lastname: Nishida
authors.forename: Hirofumi
authors.initials: H
authors.lastname: Kawanaka
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Ikeda
authors.forename: Masaru
authors.initials: M
authors.lastname: Morita
authors.forename: Yuji
authors.initials: Y
authors.lastname: Soejima
authors.forename: Hideaki
authors.initials: H
authors.lastname: Uchiyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Saeki
authors.forename: Yo-Ichi
authors.initials: Y
authors.lastname: Yamashita
authors.forename: Ken
authors.initials: K
authors.lastname: Shirabe
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Maehara
mesh_terms: D000369:Aged, 80 and over; D000715:Anatomy / Q000379:methods*; D006528:Carcinoma, Hepatocellular / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery*; D054893:Cone-Beam Computed Tomography / Q000379:methods*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional / Q000379:methods*; D008099:Liver / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000473:pathology*; D008113:Liver Neoplasms / Q000098:blood supply / Q000000981:diagnostic imaging* / Q000601:surgery*; D008297:Male; D009929:Organ Size; D011300:Preoperative Care / Q000379:methods*; D012984:Software; D025321:Surgery, Computer-Assisted / Q000379:methods*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods*; D018084:Ultrasonography, Interventional / Q000379:methods*