Preservation of the future liver remnant (FLR) vascular integrity has always been considered crucial to achieving successful liver growths after major hepatectomies. Most surgeons appeared therefore reluctant to combine stage I of associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) with vascular reconstructions. Here we describe a case series, where we combine parenchymal transection and venous in- or outflow reconstruction of the FLR at stage I of ALPPS. In addition, the cold flush of the FLR or delayed portal vein embolization is applied in selected cases.

Future liver remnant portal or hepatic vein reconstruction at stage I of ALPPS—How far can we push the boundaries? / A. Schlegel, Y. Sakuraoka, M. Kalisvaart, C. Coldham, J. Isaac, P. Muiesan. - In: JOURNAL OF SURGICAL ONCOLOGY. - ISSN 0022-4790. - 120:4(2019), pp. 654-660. [10.1002/jso.25618]

Future liver remnant portal or hepatic vein reconstruction at stage I of ALPPS—How far can we push the boundaries?

P. Muiesan
Ultimo
2019

Abstract

Preservation of the future liver remnant (FLR) vascular integrity has always been considered crucial to achieving successful liver growths after major hepatectomies. Most surgeons appeared therefore reluctant to combine stage I of associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) with vascular reconstructions. Here we describe a case series, where we combine parenchymal transection and venous in- or outflow reconstruction of the FLR at stage I of ALPPS. In addition, the cold flush of the FLR or delayed portal vein embolization is applied in selected cases.
ALPPS; delayed PVE; outcome; total vascular exclusion; venous reconstruction; Aged; Follow-Up Studies; Hepatectomy; Hepatic Veins; Humans; Ligation; Liver Neoplasms; Middle Aged; Neoplasm Staging; Portal Vein; Reconstructive Surgical Procedures; Retrospective Studies
Settore MED/18 - Chirurgia Generale
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/883597
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