Premium
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
Author(s) -
PinedaSolís Karen,
Paskar Dave,
TunAbraham Mauro,
HernandezAlejandro Roberto
Publication year - 2017
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.24604
Subject(s) - medicine , hepatectomy , vein , ligation , portal vein , hepatic veins , right gastric vein , resection , radiology , surgery , portal venous pressure , portal hypertension , cirrhosis
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.