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Laparoscopic resection of liver segments V and VIII for colorectal metastasis

B Dallemagne, MD D Mutter, MD, PhD, FACS L Soler, PhD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Oct 2009;09(10). URL: http://websurg.com/doi/vd01en2689

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  • 2009-10-15
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Laparoscopic liver resection in selected patients in highly specialized centers provides comparable oncological results to treatment with open liver resection for patients with colorectal liver metastases. In this video, we present the case of a patient who underwent the resection of two liver segments in the context of a colorectal pathology. Initially, this lesion was estimated as sitting in the liver’s segment IV, but using a specific software dedicated to reconstructions of CT-scan data, it was discovered that this lesion was situated across segment V and segment VIII. This reconstruction allows to obtain a perfect visualization of the different relationships between the vessels and also allows to guide the procedure and to simulate the operative maneuver.