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- W3030859167 abstract "ObjectiveTo study the use of laparoscopic ultrasound (LUS) in laparoscopic liver resection (LLR).MethodsPatients who underwent LLR in PLA General Hospital from Jan 2013 to Jan 2017 were retrospectively collected and analyzed. LUS detection was routinely performed to identify tumor and important vessels, determine the margin of liver resection and guide in parenchymal transection.Results324 patients underwent LLR during the study period. The resections included 137 bisegmentectomies S2-3 (33.0%), 62 segmentectomies (19.1%), 59 right or left hepatectomies (18.2%), 45 wedge resections (13.9%) and 21 other types of bi- or tri-segmentectomies. The median duration of surgery was 3.3 h (1~10 h). The median operative blood loss was 125.0 ml (5~1 200 ml). Intraoperative complications were rare. The total conversion rate was 2.2% (7 patients). Postoperative complications occurred in 23.7% of patients, all grade 1~2 according to the Clavien-Dindo classification. No liver-related mortality occurred. The R0 resection rate of malignant tumors was 100%. The median postoperative hospital stay was 5.0 days (1~15 days).ConclusionsThe safety and efficacy of LLR were improved by the full-time and real-time use of intraoperative LUS. There is a need for intraoperative LUS training for liver surgeons.Key words: Intraoperative ultrasound guided; Laparoscopy; Liver resection" @default.
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- W3030859167 date "2017-11-28" @default.
- W3030859167 modified "2023-09-23" @default.
- W3030859167 title "Laparoscopic ultrasound guided laparoscopic liver resection" @default.
- W3030859167 doi "https://doi.org/10.3760/cma.j.issn.1007-8118.2017.11.012" @default.
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