Applied anatomy and precise minimally invasive ablation of S9 segment of liver_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANG Weibiao ¹ , HUANG Yan ² ,  WANG Zaiguo ³ , JIANG Jingzhu ³ , YE Zhenwei ³ , HUANG Xiaohong ¹ , QIU Hao ¹

1. Department of Nuclear Medicine, Affiliated Dongguan Hospital, Southern Medical University, Dongguan, Guangdong 523039, P. R. China;
2. Department of Ultrasound, Affiliated Dongguan Hospital, Southern Medical University, Dongguan, Guangdong 523039, P. R. China;
3. Department of Hepatobiliary, Pancreatic and Splenic Surgery, Affiliated Dongguan Hospital, Southern Medical University, Dongguan, Guangdong 523039, P. R. China;

Corresponding author：

WANG Zaiguo, Email: wangzaiguo@sina.com

Keywords：

S9 segment of liver; Couinaud liver segment; microwave ablation; effect

DOI：

10.7507/1007-9424.202303042

Video：

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The precise anatomical division of liver segments is the foundation of liver surgery, while the anatomical division of the S9 segment of liver is a further precise division of the caudate lobe of the liver. This article retrospectively analyzed and summarized the precise minimally invasive ablation and follow-up results of four representative lesions of the S9 segment of liver, including primary liver cancer, recurrent liver cancer, metastatic liver cancer, and focal liver hyperplasia, treated at Affiliated Dongguan Hospital of Southern Medical University. The aim of this study is to explore the minimally invasive ablation effect of lesions located at the S9 segment of liver under CT guidance.

Citation： ZHANG Weibiao, HUANG Yan, WANG Zaiguo, JIANG Jingzhu, YE Zhenwei, HUANG Xiaohong, QIU Hao. Applied anatomy and precise minimally invasive ablation of S9 segment of liver. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(8): 905-910. doi: 10.7507/1007-9424.202303042 Copy

1.	Couinaud C. Surgical anatomy of the liver revisited. Acheve Dimprimer Sur Les Presses, 1989: 130‐132.
2.	Couinaud C. The paracaval segments of the liver. J HepatoBiliary Pancreat Surg, 1994, 1(2): 145-151.
3.	Couinaud C. Dorsal sector of the liver. Chirurgie, 1998, 123(1): 8-15.
4.	Abdalla EK, Vauthey JN, Couinaud C. The caudate lobe of the liver: implications of embryology and anatomy for surgery. Surg Oncol Clin N Am, 2002, 11(4): 835-848.
5.	刘允怡. 肝切除与肝移植应用解剖学. 北京: 人民卫生出版社, 2016: 20-25.
6.	李晓鹤, 魏来. 国内外肝细胞癌诊疗指南的比较. 中华肝脏病杂志, 2019, 27(3): 236-240.
7.	王在国, 张伟标, 叶振伟, 等. CT引导下经皮肝穿刺微波消融治疗Ⅸ段原发性肝癌的临床研究. 中华肝胆外科杂志, 2020, 26(11): 825-828.
8.	周艳召, 朱瑞利, 王征征, 等. 超声引导下经皮射频消融尾状叶肝细胞癌疗效分析. 中华肝脏病杂志, 2021, 29(7): 690-695.
9.	刘保娴, 匡铭, 雷阳阳, 等. 超声引导下经皮射频消融治疗尾状叶肝细胞癌的疗效. 中华肝胆外科杂志, 2018, 24(10): 654-658.
10.	Chen MS, Li JQ, Zheng Y, et al. A prospective randomized trial comparing percutaneous local ablative therapy and partial hepatectomy for small hepatocellular carcinoma. Ann Surg, 2006, 243(3): 321-328.
11.	Peng ZW, Lin XJ, Zhang YJ, et al. Radiofrequency ablation versus hepatic resection for the treatment of hepatocellular carcinomas2 cm or smaller: a retrospective comparative study. Radiology, 2012, 262(3): 1022-1033.
12.	Van Cutsem E, Cervantes A, Adam R, et al. ESMO consensus guidelines for the management of patients with metastatic colorectal cancer. Ann Oncol, 2016, 27(8): 1386-1422.
13.	朱鹏, 陈战, 王宇明. 《2014年美国胃肠病学会临床实践指南: 肝脏局灶性病变的诊断及管理》推荐意见. 临床肝胆病杂志, 2015, 31(1): 21-24.
14.	European Association for the Study of the Liver (EASL). EASL Clinical Practice Guidelines on the management of benign liver tumours. J Hepatol, 2016, 65(2): 386-398.
15.	Terkivatan T, de Wilt JH, de Man RA, et al. Indications and long-term outcome of treatment for benign hepatic tumors: a critical appraisal. Arch Surg, 2001, 136(9): 1033-1038.
16.	Majno P, Mentha G, Toso C, et al. Anatomy of the liver: an outline with three levels of complexity–a further step towards tailored territorial liver resections. J Hepatol, 2014, 60(3): 654-662.
17.	黄洁, 李建伟, 张彤. 肝尾状叶的再认识和相关问题探讨. 中华消化外科杂志, 2023, 22(1): 160-166.
18.	徐庆祥, 王剑, 陈亚诺, 等. 肝脏尾状叶肿瘤切除技术探讨. 中华肝胆外科杂志, 2022, 28(11): 860-862.

1. Couinaud C. Surgical anatomy of the liver revisited. Acheve Dimprimer Sur Les Presses, 1989: 130‐132.
2. Couinaud C. The paracaval segments of the liver. J HepatoBiliary Pancreat Surg, 1994, 1(2): 145-151.
3. Couinaud C. Dorsal sector of the liver. Chirurgie, 1998, 123(1): 8-15.
4. Abdalla EK, Vauthey JN, Couinaud C. The caudate lobe of the liver: implications of embryology and anatomy for surgery. Surg Oncol Clin N Am, 2002, 11(4): 835-848.
5. 刘允怡. 肝切除与肝移植应用解剖学. 北京: 人民卫生出版社, 2016: 20-25.
6. 李晓鹤, 魏来. 国内外肝细胞癌诊疗指南的比较. 中华肝脏病杂志, 2019, 27(3): 236-240.
7. 王在国, 张伟标, 叶振伟, 等. CT引导下经皮肝穿刺微波消融治疗Ⅸ段原发性肝癌的临床研究. 中华肝胆外科杂志, 2020, 26(11): 825-828.
8. 周艳召, 朱瑞利, 王征征, 等. 超声引导下经皮射频消融尾状叶肝细胞癌疗效分析. 中华肝脏病杂志, 2021, 29(7): 690-695.
9. 刘保娴, 匡铭, 雷阳阳, 等. 超声引导下经皮射频消融治疗尾状叶肝细胞癌的疗效. 中华肝胆外科杂志, 2018, 24(10): 654-658.
10. Chen MS, Li JQ, Zheng Y, et al. A prospective randomized trial comparing percutaneous local ablative therapy and partial hepatectomy for small hepatocellular carcinoma. Ann Surg, 2006, 243(3): 321-328.
11. Peng ZW, Lin XJ, Zhang YJ, et al. Radiofrequency ablation versus hepatic resection for the treatment of hepatocellular carcinomas2 cm or smaller: a retrospective comparative study. Radiology, 2012, 262(3): 1022-1033.
12. Van Cutsem E, Cervantes A, Adam R, et al. ESMO consensus guidelines for the management of patients with metastatic colorectal cancer. Ann Oncol, 2016, 27(8): 1386-1422.
13. 朱鹏, 陈战, 王宇明. 《2014年美国胃肠病学会临床实践指南: 肝脏局灶性病变的诊断及管理》推荐意见. 临床肝胆病杂志, 2015, 31(1): 21-24.
14. European Association for the Study of the Liver (EASL). EASL Clinical Practice Guidelines on the management of benign liver tumours. J Hepatol, 2016, 65(2): 386-398.
15. Terkivatan T, de Wilt JH, de Man RA, et al. Indications and long-term outcome of treatment for benign hepatic tumors: a critical appraisal. Arch Surg, 2001, 136(9): 1033-1038.
16. Majno P, Mentha G, Toso C, et al. Anatomy of the liver: an outline with three levels of complexity–a further step towards tailored territorial liver resections. J Hepatol, 2014, 60(3): 654-662.
17. 黄洁, 李建伟, 张彤. 肝尾状叶的再认识和相关问题探讨. 中华消化外科杂志, 2023, 22(1): 160-166.
18. 徐庆祥, 王剑, 陈亚诺, 等. 肝脏尾状叶肿瘤切除技术探讨. 中华肝胆外科杂志, 2022, 28(11): 860-862.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Applied anatomy and precise minimally invasive ablation of S9 segment of liver

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