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Published in: Journal of Gastrointestinal Surgery 2/2012

01-02-2012 | Multimedia Article

Integration of 3D Volumetry, Portal Vein Transection and In Situ Split Procedure: A New Surgical Strategy for Inoperable Liver Metastasis

Authors: Karl J. Oldhafer, Marcello Donati, Tina Maghsoudi, Darko Ojdanić, Gregor A. Stavrou

Published in: Journal of Gastrointestinal Surgery | Issue 2/2012

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Abstract

Introduction

The purpose of this study was to report on the feasibility of integrating 3D preoperative volumetry, portal vein transection and in situ split procedure. A 54-year-old female with now resectable colorectal liver metastasis (CRLM) (segments III, IVb, V–VIII) underwent a two-staged procedure.

Methods

Segment III resection, right portal vein transection and an in situ split procedure (first stage) after 3D volumetry based on CT data and a right trisegmentectomy (second stage) were performed. RO resection of metastases was achieved, and the postoperative course was uneventful.

Conclusion

The proposed strategy seems to be a promising method to achieve higher resectability rates in CRLM patients.
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Metadata
Title
Integration of 3D Volumetry, Portal Vein Transection and In Situ Split Procedure: A New Surgical Strategy for Inoperable Liver Metastasis
Authors
Karl J. Oldhafer
Marcello Donati
Tina Maghsoudi
Darko Ojdanić
Gregor A. Stavrou
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 2/2012
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-011-1695-3

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