Percutaneous radiofrequency ablation-assisted laparoscopic hepatectomy

Area of Science:

• Hepatobiliary surgery
• Surgical oncology
• Minimally invasive surgery

Background:

• Metachronous rectal liver metastasis requires effective surgical management.
• Laparoscopic hepatectomy offers a minimally invasive approach for liver resections.
• Segmental blood flow occlusion and radiofrequency ablation are techniques to aid liver resection.

Observation:

• A 15mm rectal liver metastasis in segment 8 (ventral) was identified.
• Intraoperative enhanced ultrasound visualized the ischemic area as hypoechoic.
• A photodynamic eye camera revealed the ischemic area as a discolored lesion.

Findings:

• Laparoscopic hepatectomy was performed using segmental blood flow occlusion and radiofrequency ablation.
• The targeted ischemic area was clearly delineated using intraoperative imaging modalities.
• The liver metastasis was resected with adequate surgical margins.

Implications:

• This case demonstrates the feasibility and effectiveness of laparoscopic hepatectomy for rectal liver metastasis.
• Intraoperative imaging, including enhanced ultrasound and photodynamic eye camera, aids in precise tumor resection.
• Minimally invasive techniques can achieve oncological goals in managing liver metastases.