Anatomical XXXX : a further expansion of the ultrasound-guided compression technique.

@entity1 @entity82 @entity1560 @entity5 @entity4048 @entity3619 @entity157
Dissection or encirclement of the sectional pedicles for resection area demarcation is generally required for anatomical @entity4048 ( @entity4048 ). These maneuvers are sometime unfeasible and potentially dangerous. A new technique for performing an @entity4048 is herein described. Among the last 289 consecutive @entity1 who underwent hepatic resection, 15 met the eligibility criteria for anatomical @entity4048 by ultrasound-guided finger compression. This technique consists in demarcating the resection area by ultrasound-guided finger compression of the right posterior portal pedicle at the level closest to the @entity5 but oncologically suitable. Five @entity1 had @entity157 ; 11 had colorectal liver metastases. Median @entity5 number was 2 (range 1-46); median @entity5 size was 2.4  cm (range 0.4-13). Six @entity1 had @entity82 or @entity3619 , and ten had @entity1560 . Results show that the procedure resulted feasible in all eligible @entity1 , and demarcation area was obtained in all @entity1 within 1  min of bimanual IOUS guided compression. There was no mortality or major morbidity: only 2 (12%) @entity1 experienced postoperative morbidity. Blood transfusions were not given. Ultrasound-guided finger compression of sectional portal pedicle feeding the right posterior section is a feasible, safe, and effective method, and introduces a new modality for performing @entity4048 .
