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- W2891822581 abstract "Background: There are many different techniques available for laparoscopic liver surgery. This video shows the use of ultrasonic surgical aspirator and stapler for a segment III/IVb resection. Methods: Patient was placed supine and four laparoscopic trocars were inserted into the right upper quadrant. Following diagnostic laparoscopy, liver resection was performed using the ultrasonic surgical aspirator and stapler. Results: Patient was a 37-year-old male with an incidentally found 4.5 × 3.9 cm liver cyst in segment III/IVb. On 6-month follow-up MRI, the cyst was found to enlarge to 5.3 × 4.2 cm. AFP and CEA levels at this time were within normal limits at 3 (N: 0-9) and less than 0.5, respectively. Fine needle aspiration of the lesion was performed, but came back as non-diagnostic mucinous material. Given the increase in size and non-diagnostic fine needle aspiration, surgical excision was planned. Laparoscopic wedge resection of the lesion was performed successfully using ultrasonic surgical aspirator and stapler. Patient was discharged uneventfully on postoperative day #1. Final pathology was consistent with intraductal tubulopapillary neoplasm with low and high grade dysplasia. Resection margins were negative. Conclusion: This video demonstrates the use of the ultrasonic surgical aspirator and stapler to resect a large segment III/IVb lesion. Using this combined technique, the mass was successfully removed." @default.
- W2891822581 created "2018-09-27" @default.
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- W2891822581 date "2018-03-01" @default.
- W2891822581 modified "2023-10-02" @default.
- W2891822581 title "Laparoscopic resection of a complex segment III/IVB liver cyst using ultrasonic surgical aspirator" @default.
- W2891822581 doi "https://doi.org/10.1016/j.hpb.2018.02.514" @default.
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