Hepatic Metastasis Marking Before Neoadjuvant Chemotherapy for Their Subsequent Location and Resection Using Non-anatomical Hepatectomy

Casado, Oscar Alonso; Moreno, Santiago González; García, Sofía; Sebastián, A. Rojo; Delgado, Andreina Olavarría

doi:10.1016/j.cireng.2014.01.008

Cited by 3 publications

(3 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…4 Marking CRLM should be considered in some situations; In patients with CRLM at risk of becoming missing after systemic neoadjuvant or ablative treatment and in lesions which characteristics make their intraoperative ultrasound detectability difficult such as small intraparenchymal lesions, hypoechogenic lesions or mild/ severe liver steatosis. 6,7 Casado et al 7 used percutaneous placement of marking coils CT guided before neoadjuvant therapy in the deep margin of a CRLM located in the intersection of segments V-VI-VII-VIII. After neoadjuvant the lesion had disappeared, intraoperative ultrasound showed marking coil, allowing them to carry out a non-anatomic liver resection.…”

Section: Discussionmentioning

confidence: 99%

“…Marking CRLM should be considered in some situations; In patients with CRLM at risk of becoming missing after systemic neoadjuvant or ablative treatment and in lesions which characteristics make their intraoperative ultrasound detectability difficult such as small intraparenchymal lesions, hypoechogenic lesions or mild/severe liver steatosis. 6,7…”

Section: Discussionmentioning

confidence: 99%

“…Casado et al 7 used percutaneous placement of marking coils CT guided before neoadjuvant therapy in the deep margin of a CRLM located in the intersection of segments V-VI-VII-VIII. After neoadjuvant the lesion had disappeared, intraoperative ultrasound showed marking coil, allowing them to carry out a non-anatomic liver resection.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Onyx®, A New Tool for Intraoperative Localization of Liver Lesions

Rubio-García,

Mantilla Pinilla,

Gil Sánchez

et al. 2024

Surg Innov

View full text Add to dashboard Cite

Background Precise preoperative localization of liver tumors facilitates successful surgical procedures, Intraoperative ultrasonography is a sensitive imaging modality. However, the presence of small non-palpable isoechoic intraparenchymal lesions may be challenging intraoperatively. Methodology and Material Description Onyx® is a non-adhesive liquid agent comprised of ethylene-vinyl alcohol usually used dissolved in dimethyl-sulfoxide and suspended micronized tantalum powder to provide contrast for visualization under fluoroscopy and ultrasonography and a macroscopic black shape. This embolization material has been increasingly used for the embolization of intracranial arteriovenous malformations. We present the novel application of Onyx® on liver surgery. Current Status We present the case of a female, 55 years-old, whose medical history revealed an elective sigmoidectomy (pT3N1a). After 17 months of follow up, by PET-CT scan, the patient was diagnosed of a small intraparenchymal hypo-attenuated 13 mm tumor located at segment V consistent with metachronous colorectal liver metastasis. Open metastasectomy was performed, ultrasonography-guided Onyx® infusion was delivered the day after, intraoperative ultrasonography showed a palpable hyperechoic material with a posterior acoustic shadowing artifact around the lesion. Onyx® is a promising new tool, without any previous application on liver surgery, feasible with advantages in small not palpable intraparenchymal liver lesions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Onyx®, A New Tool for Intraoperative Localization of Liver Lesions

Rubio-García,

Mantilla Pinilla,

Gil Sánchez

et al. 2024

Surg Innov

View full text Add to dashboard Cite

show abstract

Enucleation of liver tumors: you do not have to feel blue about it

et al. 2015

View full text Add to dashboard Cite

Enucleation of hepatic tumors is a low-morbidity technique with adequate oncological results that is useful in many clinical settings. Compared with anatomical liver resections, it offers the advantage of maximal hepatic parenchymal preservation. However, some technical adversities may occur during the enucleation of liver tumors, such as difficulty in finding the lesions by intraoperative ultrasonography after hepatic transection or further visually spotting the tumor within the parenchyma if a first specimen is retracted not containing the lesion. We describe an innovative technique that overcomes these possible adversities and makes the enucleation of liver tumors easier and more precise.

show abstract

Imaging Features of Post Main Hepatectomy Complications: The Radiologist Challenging

et al. 2022

View full text Add to dashboard Cite

In the recent years, the number of liver resections has seen an impressive growth. Usually, hepatic resections remain the treatment of various liver diseases, such as malignant tumors, benign tumors, hydatid disease, and abscesses. Despite technical advancements and tremendous experience in the field of liver resection of specialized centers, there are moderately high rates of postoperative morbidity and mortality, especially in high-risk and older patient populations. Although ultrasonography is usually the first-line imaging examination for postoperative complications, Computed Tomography (CT) is the imaging tool of choice in emergency settings due to its capability to assess the whole body in a few seconds and detect all possible complications. Magnetic resonance cholangiopancreatography (MRCP) is the imaging modality of choice for delineating early postoperative bile duct injuries and ischemic cholangitis that may arise in the late postoperative phase. Moreover, both MDCT and MRCP can precisely detect tumor recurrence. Consequently, radiologists should have knowledge of these surgical procedures for better comprehension of postoperative changes and recognition of the radiological features of various postoperative complications.

show abstract

Hepatic Metastasis Marking Before Neoadjuvant Chemotherapy for Their Subsequent Location and Resection Using Non-anatomical Hepatectomy

Cited by 3 publications

References 5 publications

Onyx®, A New Tool for Intraoperative Localization of Liver Lesions

Onyx®, A New Tool for Intraoperative Localization of Liver Lesions

Enucleation of liver tumors: you do not have to feel blue about it

Imaging Features of Post Main Hepatectomy Complications: The Radiologist Challenging

Contact Info

Product

Resources

About