Ex vivo liver resection coupled with associated liver partition and portal vein ligation: Combining existing techniques to achieve surgical resectability

Incorporation of liver transplant techniques in hepatopancreaticobiliary surgery has created an opportunity for the resection of locally advanced hepatic tumors formerly considered unresectable. A 73‐year‐old woman presented with cholangiocarcinoma involving inferior vena cava, all three hepatic vei...

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Bibliographic Details
Published in:Journal of surgical oncology 2019-05, Vol.119 (6), p.771-776
Main Authors: Baimas‐George, Maria R., Levi, David M., Eskind, Lon B., Kirks, Russell C., Passeri, Michael, Lessne, Mark, Kardassis, Dimitrios, Salmon, Stuart, Iannitti, David A., Vrochides, Dionisios
Format: Article
Language:English
Subjects:
Cancer surgery
cholangiocarcinoma
extracorporeal hepatectomy
hepatopancreaticobiliary surgery
Liver
Liver cancer
locally advanced hepatic malignancy
Transplants & implants
Tumors
venovenous bypass
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Summary:Incorporation of liver transplant techniques in hepatopancreaticobiliary surgery has created an opportunity for the resection of locally advanced hepatic tumors formerly considered unresectable. A 73‐year‐old woman presented with cholangiocarcinoma involving inferior vena cava, all three hepatic veins, and right anterior portal pedicle, initially deemed nonoperative. This case demonstrates the first combined application of associating liver partition and portal vein ligation for staged hepatectomy and ex vivo resection to perform an R0. For diseases dependent upon resection, surgical advances and innovations expand the spectrum of interventions through interdisciplinary techniques.
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.25375