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J Surg Case Rep. 2015 Oct 21;2015(10). pii: rjv130. doi: 10.1093/jscr/rjv130.

Enucleation of liver tumors: you do not have to feel blue about it.

Author information

1
Surgery Department, University Of São Paulo School of Medicine, Pinheiros, São Paulo 05412-002, Brazil medrod2003@yahoo.com.br.
2
Gastrointestinal Surgery, University of São Paulo School of Medicine, Cerqueira César, São Paulo 01246-904, Brazil.
3
Surgery Department, University of São Paulo School of Medicine, Cerqueira César, São Paulo 01246-904, Brazil.

Abstract

Enucleation of hepatic tumors is a low-morbidity technique with adequate oncological results that is useful in many clinical settings. Compared with anatomical liver resections, it offers the advantage of maximal hepatic parenchymal preservation. However, some technical adversities may occur during the enucleation of liver tumors, such as difficulty in finding the lesions by intraoperative ultrasonography after hepatic transection or further visually spotting the tumor within the parenchyma if a first specimen is retracted not containing the lesion. We describe an innovative technique that overcomes these possible adversities and makes the enucleation of liver tumors easier and more precise.

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