Abdominal Key

Fig. 11.1 J-shaped laparotomy. The incision starts from the xiphoid process on the midline to approximately 3–4 cm above the umbilicus. Then, it curves laterally towards the right hypocondrium until…

Fig. 16.1 Multiple atypical resections for colorectal liver metastases (CLM) synchronous to colon cancer. (a) Sg8 wedge resection, Sg6 wedge resection, and Sg5 subsegmentectomy. (b) Detail of Sg5 subsegmentectomy. The…

Fig. 1.1 Schematic representation of the gross appearance of the liver, with the macroscopical lobes. The external anatomical structures have little relation to the vascular anatomy (one exception is the…

Fig. 19.1 Intraoperative view of laparoscopic ultrasound evaluation in a case of multiple bilateral metastases Tumor Ablation The LUS can be used as a guidance method to perform radiofrequency ablation…

Fig. 7.1 Scheme (a) and CT scan (b) of the future liver remnant (FLR) in a patient undergoing evaluation for an extended right hepatectomy of segment 5–8 + segment 4 and 1….

Fig. 14.1 Masatoshi Makuuchi from the National Cancer Center in Tokyo Fig. 14.2 Portal vein embolization: hypertrophy of the future liver remnant, atrophy of the tumor bearing lobe (colorectal liver…

Fig. 15.1 Diagram summarizing both ALPPS stages. During first stage, right portal vein is ligated, the parenchyma is transected, and lesions in the future liver remnant are cleaned up Classical…

Fig. 2.1 Ultrasound (B-mode) of a CLM with a hypoechoic rim referred to as “halo-sign” (arrow) The use of contrast media improves the detection and characterization of hepatic lesions, and…

Fig. 22.1 Schema of lymphatic drainage of the liver. Sublobular and portal lymphatic pathway (a) and superficial pathways (b) (Source: ‘Patterns of spread of disease from the liver’, Figs. 9…