Expanding the limits of resectability: Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) using monosegment 6, facilitated by an inferior right hepatic vein

We describe our technique using the combination of a recent surgical technique (ALPPS) and an anomalous vascular anatomy to push the current limits of liver resectability. The approach allowed the resection of the three hepatic veins and preserved a peripheral segment 6 as the only future liver remn...

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Bibliographic Details
Published in:Journal of surgical oncology 2017-06, Vol.115 (8), p.959-962
Main Authors: Pineda‐Solís, Karen, Paskar, Dave, Tun‐Abraham, Mauro, Hernandez‐Alejandro, Roberto
Format: Article
Language:English
Subjects:
Adult
ALPPS
Bile Duct Neoplasms - surgery
Bile Ducts, Intrahepatic
Cancer surgery
Cholangiocarcinoma - surgery
expanding limits liver resection
Female
Hepatectomy - methods
Hepatic Veins - surgery
Humans
Ligation
monosegmental liver resection
Portal Vein - surgery
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Summary:We describe our technique using the combination of a recent surgical technique (ALPPS) and an anomalous vascular anatomy to push the current limits of liver resectability. The approach allowed the resection of the three hepatic veins and preserved a peripheral segment 6 as the only future liver remnant, having an inferior hepatic vein as its outflow.
ISSN:0022-4790
1096-9098
DOI:10.1002/jso.24604