Published in:
23-11-2023 | Liver Surgery | ASO Author Reflections
ASO Author Reflections: Advances in Minimally Invasive Liver Surgery: Laparoscopic Liver Tunnel for Challenging Tumor Localizations
Authors:
Roberto Lo Tesoriere, MD, Alessandro Ferrero, MD
Published in:
Annals of Surgical Oncology
|
Issue 2/2024
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Excerpt
The paracaval portion of segment 1 (Sg1) is probably one of the most challenging localizations for liver tumors. Tumors thus located have long been deemed unresectable or forced to sacrifice large amounts of healthy liver parenchyma. Even if parenchyma-sparing surgery (PSS) has gained wide acceptance even in minimally invasive liver surgery (MILS) it is seldom performed for tumors at the hepatocaval confluence. The liver tunnel was proposed 10 years ago, offering PSS to patients with such ill-located tumors,
1 and has never, to the best of our knowledge, been described in MILS. …