title: Anatomic liver resection of segments 6, 7, and 8 by the method of selective occlusion of hepatic inflow.
abstract: Anatomic liver resection not only enables enough tumor-free resection margin but also guarantees maximum preservation of remaining normal liver tissue. We report herein a hepatocellular carcinoma patient who underwent successful anatomic liver resection of segments 6, 7, and 8 by the method of selective occlusion of hepatic inflow. Multiple tumors were found in segments 6, 7, and 8 by computed tomographic (CT) scanning. CT volumetry analyzed that his left hemi-liver volume was less than the minimal limit of safe survival. Therefore, we planned to perform segment 5 remaining, anatomic liver resection of segments 6, 7, and 8 to guarantee the maximum preservation of remaining normal liver tissue. Selective occlusion of hepatic inflow was creatively used twice in this case to divide right hemi-liver Glissonean pedicle and segments 6 and 7 Glissonean pedicle, respectively. Thus, the resection line was determined, and anatomic liver resection of segments 6, 7, and 8 was completed. Selective right hemi-liver Glissonean pedicle occlusion was used, while parenchymal transection was between segments 6 and 5 and between segments 8 and 5. Therefore, liver ischemia reperfusion injury and homodynamic instability were maximally reduced during operation.
authors.affiliation: Department of Hepatobiliary Surgery, Affiliated Hospital of Hainan Medical College, Haikou, People's Republic of China.
authors.forename: Changku
authors.initials: C
authors.lastname: Jia
authors.affiliation: The Third Department of General Surgery, General Hospital of Fengfeng Jizhong, Energy Group Company Limited, Handan, Hebei Province People's Republic of China.
authors.forename: Haiyang
authors.initials: H
authors.lastname: Wang
authors.affiliation: Department of Hepatobiliary Surgery, Affiliated Hospital of Hainan Medical College, Haikou, People's Republic of China.
authors.forename: Youke
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Department of Hepatobiliary Surgery, Affiliated Hospital of Hainan Medical College, Haikou, People's Republic of China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Fu
authors.affiliation: Office of Nosocomial Infection, Affiliated Hospital of Hainan Medical College, 31 Longhua Road, Haikou, People's Republic of China.
authors.forename: Honglei
authors.initials: H
authors.lastname: Liu
keywords: Anatomic segmentectomy; Glissonean pedicle; Selective occlusion