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Pre operatory CT scan showing liver hemangioma.. Legend: Case 1 CT scan (left); Case 2 CT scan (center); Case 3 CT scan (right).
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Double helical CT scan revealed an 8.2 x 5.8 cm (Fig. 2) vascular lesion within segments II and III of the liver with peripheral nodular enhancement.
Superficial view of the liver mass. (Case 1).. Legend: Image comparison: bright light (left) vs ICG fluorescence (right).
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The vascular pattern of the hemangioma could be differentiated from the one of the liver using ICG (Fig. 3).
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Hemangioma enucleation (Case 2).. Legend: Resection using Harmonic shears (left); Small vessel transection in between sutures (right).
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CT scan revealed a 3.9 x 3.5 cm segment III hemangioma (Fig. 4).
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Port placement.. Legend: port placement for left lobe hemangiomas (left); port placement for right lobe hemangiomas (right).
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Trocar placement was similar to the one showed in Fig. 1.
Deep Giant hemangioma involving the majority of segment IV (Case 3).. Legend: superficial view (left); Hemangioma detachment following the pseudo capsule plane (right).
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After the falciform ligament was taken down, dissection started between the segments III and IVB, on the right side of the falciform (Fig. 5).