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Journal of Gastrointestinal Surgery

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01-10-2017 | Letter to the Editor

Extended Liver Venous Deprivation Leads to a Higher Increase in Liver Function that ALPPS in Early Assessment

A comment to “Sparrelid, E. et al. Dynamic Evaluation of Liver Volume and Function in Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy. Journal of Gastrointestinal Surgery (2017)”

Authors: Emmanuel Deshayes, Erik Schadde, Lauranne Piron, François Quenet, Boris Guiu

Published in: Journal of Gastrointestinal Surgery | Issue 10/2017

Excerpt

We read with great interest the study by Sparrelid et al. about assessment of volume (CT based) and function (with ^99mTc-mebrofenin hepatobiliary scintigraphy (HBS) of the future remnant liver (FRL) for 9 patients with colorectal liver metastasis (CRLM) undergoing associating liver partition and portal vein ligation for staged hepatectomy (ALPPS).1 This is the third study published so far to confirm that the increase in FLR volume in ALPPS does not keep pace with liver function within the short period of time between stages of ALPPS.2 ^– 4 …

Sparrelid E, Jonas E, Tzortzakakis A, Dahlen U, Murquist G, Brismar T et al. Dynamic Evaluation of Liver Volume and Function in Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy. J Gastrointest Surg. 2017. doi:10.1007/s11605-017-3389-y.

Olthof PB, Schadde E, van Lienden KP, Heger M, de Bruin K, Verheij J et al. Hepatic parenchymal transection increases liver volume but not function after portal vein embolization in rabbits. Surgery. 2017. doi:10.1016/j.surg.2016.12.014.

Truant S, Baillet C, Deshorgue AC, Leteurtre E, Hebbar M, Ernst O et al. Drop of Total Liver Function in the Interstages of the New Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy Technique: Analysis of the "Auxiliary Liver" by HIDA Scintigraphy. Ann Surg. 2016;263(3):e33–4. doi:10.1097/SLA.0000000000001603.CrossRefPubMed

Cieslak KP, Olthof PB, van Lienden KP, Besselink MG, Busch OR, van Gulik TM et al. Assessment of Liver Function Using (99m)Tc-Mebrofenin Hepatobiliary Scintigraphy in ALPPS (Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy). Case Rep Gastroenterol. 2015;9(3):353–60. doi:10.1159/000441385.CrossRefPubMedPubMedCentral

Olthof PB, Coelen RJS, Wiggers JK, Groot Koerkamp B, Malago M, Hernandez-Alejandro R et al. High mortality after ALPPS for perihilar cholangiocarcinoma: case-control analysis including the first series from the international ALPPS registry. HPB (Oxford). 2017;19(5):381–7. doi:10.1016/j.hpb.2016.10.008.CrossRefPubMed

Guiu B, Chevallier P, Denys A, Delhom E, Pierredon-Foulongne MA, Rouanet P et al. Simultaneous trans-hepatic portal and hepatic vein embolization before major hepatectomy: the liver venous deprivation technique. Eur Radiol. 2016;26(12):4259–67. doi:10.1007/s00330-016-4291-9.CrossRefPubMed

Guiu B, Quenet F, Escal L, Bibeau F, Piron L, Rouanet P et al. Extended liver venous deprivation before major hepatectomy induces marked and very rapid increase in future liver remnant function. Eur Radiol. 2017. doi:10.1007/s00330-017-4744-9.

de Graaf W, van Lienden KP, Dinant S, Roelofs JJ, Busch OR, Gouma DJ et al. Assessment of future remnant liver function using hepatobiliary scintigraphy in patients undergoing major liver resection. J Gastrointest Surg. 2010;14(2):369–78. doi:10.1007/s11605-009-1085-2.CrossRefPubMed

Kishi Y, Madoff DC, Abdalla EK, Palavecino M, Ribero D, Chun YS et al. Is embolization of segment 4 portal veins before extended right hepatectomy justified? Surgery. 2008;144(5):744–51. doi:10.1016/j.surg.2008.05.015.CrossRefPubMed

Title: Extended Liver Venous Deprivation Leads to a Higher Increase in Liver Function that ALPPS in Early Assessment
A comment to “Sparrelid, E. et al. Dynamic Evaluation of Liver Volume and Function in Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy. Journal of Gastrointestinal Surgery (2017)”
Authors: Emmanuel Deshayes
Erik Schadde
Lauranne Piron
François Quenet
Boris Guiu
Publication date: 01-10-2017
Publisher: Springer US
Published in: Journal of Gastrointestinal Surgery / Issue 10/2017
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-017-3508-9

At a glance: The STEP trials

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Extended Liver Venous Deprivation Leads to a Higher Increase in Liver Function that ALPPS in Early Assessment

A comment to “Sparrelid, E. et al. Dynamic Evaluation of Liver Volume and Function in Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy. Journal of Gastrointestinal Surgery (2017)”

Excerpt

At a glance: The STEP trials

Springer Medicine

Excerpt

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