Torzilli G, Takayama T, Hui A M, Kubota K, Harihara Y, Makuuchi M
Department of Surgery, Graduate School of Medicine, University of Tokyo, Japan.
Am J Surg. 1999 Oct;178(4):341-3. doi: 10.1016/s0002-9610(99)00193-2.
Nowadays, resective hepatic surgery should be considered an echo-guided surgical procedure to guarantee that effective anatomical resection is accomplished. We describe a simple and original technique guided by intraoperative ultrasonography (IOUS), called the hooking technique, that enables the ligation sites of the intrahepatic vessels during systematic segmentectomy to be chosen precisely. Together with other IOUS-guided techniques described previously, the hooking technique provides a further guarantee for the successful execution of anatomical and radical liver resection.
如今，肝切除手术应被视为一种超声引导下的外科手术，以确保实现有效的解剖性切除。我们描述了一种由术中超声（IOUS）引导的简单且原创的技术，称为钩拉技术，该技术能够在系统性肝段切除术中精确选择肝内血管的结扎部位。与先前描述的其他IOUS引导技术一起，钩拉技术为成功实施解剖性和根治性肝切除术提供了进一步保障。
