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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 11/2019

01-11-2019 | Liver Resection | How I do it

Three Possible Variations in Ex Vivo Hepatectomy: Achieving R0 Resection by Auto-transplantation

Authors: Maria R. Baimas-George, David M. Levi, Dionisios Vrochides

Published in: Journal of Gastrointestinal Surgery | Issue 11/2019

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Abstract

The collaboration of hepatopancreaticobiliary with transplant surgery expands technical options and opportunity for potentially curative resection in traditionally inoperable cases.  We identified and describe three different types of ex vivo hepatic resections that include (1) explantation with formal hepatectomy, (2) explantation with re-implantation of the whole liver after vascular reconstruction, and (3) explantation with formal hepatectomy after future liver remnant volume augmentation.
Literature
1.
Lodge JP, Ammori BJ, Prasad KR et al. Ex vivo and in situ resection of inferior vena cava with hepatectomy for colorectal metastases. Ann Surg. 2000;231:471–479CrossRef
2.
Hemming AW, Cattral MS. Ex vivo liver resection with replacement of the inferior vena cava and hepatic vein replacement by transposition of the portal vein. J Am Coll Surg. 1999;189(5):523–526.CrossRef
3.
Yang X, Qiu Y, Huang B et al. Novel techniques and preliminary results of ex vivo liver resection and autotransplantation for end-stage hepatic alveolar echinococcosis: A study of 31 cases. Am J Transplant 2018;18:1668–1679.CrossRef
Metadata
Title
Three Possible Variations in Ex Vivo Hepatectomy: Achieving R0 Resection by Auto-transplantation
Authors
Maria R. Baimas-George
David M. Levi
Dionisios Vrochides
Publication date
01-11-2019
Publisher
Springer US
Published in
Journal of Gastrointestinal Surgery / Issue 11/2019
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-019-04253-6

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