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

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Journal of Gastrointestinal Surgery

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.

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References

  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;231:471–479

    Article  CAS  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  Google Scholar 

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All authors contributed appropriately to this manuscript in accordance with the International Committee of Medical Journal Editors.

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Correspondence to Dionisios Vrochides.

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The authors declare that they have no conflicts of interest.

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Presented as an oral presentation at the Southeastern Surgical Congress, February 2019, Charlotte, NC

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Baimas-George, M.R., Levi, D.M. & Vrochides, D. Three Possible Variations in Ex Vivo Hepatectomy: Achieving R0 Resection by Auto-transplantation. J Gastrointest Surg 23, 2294–2297 (2019). https://doi.org/10.1007/s11605-019-04253-6

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  • DOI: https://doi.org/10.1007/s11605-019-04253-6

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