Initial results of MR-guided liver resection in a high-field open MRI

Chopra, Sascha; Schmidt, Sven; Eisele, R; Teichgräber, Ulf; Voort, I. van der; Seebauer, Christian; Streitparth, Florian; Schumacher, Guido

doi:10.1007/s00464-010-0994-1

Cited by 12 publications

(5 citation statements)

References 18 publications

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“…Two future technical improvements may facilitate the realization of major LLR. Imaging guidance (augmented reality) during liver transection could simplify the control of vessels and biliary branches and overcome the problems related to the limited tactile sensation during LLR . Robotics will also be an inevitable part of the future of liver surgery.…”

Section: Discussionmentioning

confidence: 99%

International experience for laparoscopic major liver resection

Dagher

Gayet

Tzanis

et al. 2014

J Hepato Biliary Pancreat

146

103

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Although minor laparoscopic liver resections (LLRs) appear as standardized procedures, major LLRs are still limited to few expert teams. The aim of this study was to report the combined data of 18 international centers performing major LLR. Variables evaluated were number and type of LLR, surgical indications, number of synchronous colorectal resections, details on technical points, conversion rates, operative time, blood loss and surgical margins. From 1996 to 2014, a total of 5388 LLR were carried out including 1184 major LLRs. The most frequent indication for laparoscopic right hepatectomy (LRH) was colorectal liver metastases (37.0%). Seven centers used hand assistance or hybrid approach selectively for LRH mostly at the beginning of their experience. Seven centers apply Pringle's maneuver routinely. The conversion rate for all major LLRs was 10% and mean operative time was 291 min. Mean estimated blood loss for all major LLR was 327 ml and negative surgical margin rate was 96.5%. Major LLRs still remain challenging procedures requiring important experience in both laparoscopy and liver surgery. Stimulating the younger generation to learn and accomplish these techniques is the better way to guarantee further development of this surgical field.

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Section: Discussionmentioning

confidence: 99%

International experience for laparoscopic major liver resection

Dagher

Gayet

Tzanis

et al. 2014

J Hepato Biliary Pancreat

146

103

View full text Add to dashboard Cite

show abstract

“…This technique enables safe manipulation in close proximity to major vessels by means of improved intraoperative navigation. On-line guidance of LHR by open MRI reported in a porcine model presents another alternative approach (141). However in a reported form this navigation is unlikely to get spread due to essential reduction of the surgeon's working space with currently available open MRI systems.…”

Section: Intraoperative Three-dimensional Navigationmentioning

confidence: 99%

Laparoscopic Liver Surgery: New Frontiers

2011

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“…MR volumetry can be used to assess volumes and possible effects of fluid preinjection in ablation procedures such as radiofrequency ablation (RFA) or microwave ablation (MWA) [5]. Even experimental laparoscopic liver resection under MR guidance has been performed in animals [3,4].…”

Section: Discussionmentioning

confidence: 99%