Future liver remnant portal or hepatic vein reconstruction at stage I of ALPPS-How far can we push the boundaries?

Schlegel, Andrea and Sakuraoka, Yuhki and Kalisvaart, Marit and Coldham, Chris and Isaac, John and Muiesan, Paolo (2019) Future liver remnant portal or hepatic vein reconstruction at stage I of ALPPS-How far can we push the boundaries? Journal of surgical oncology. ISSN 1096-9098. This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs

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Abstract

Preservation of the future liver remnant (FLR) vascular integrity has always been considered crucial to achieving successful liver growths after major hepatectomies. Most surgeons appeared therefore reluctant to combine stage I of associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) with vascular reconstructions. Here we describe a case series, where we combine parenchymal transection and venous in- or outflow reconstruction of the FLR at stage I of ALPPS. In addition, the cold flush of the FLR or delayed portal vein embolization is applied in selected cases.

Item Type:	Article
Additional Information:	This article is available to all UHB staff and students via ASK Discovery tool http://tinyurl.com/z795c8c by using their UHB Athens login IDs
Subjects:	WK Endocrine system. Endocrinology
Divisions:	Emergency Services > Renal
Related URLs:	https://www.ncbi.nlm.nih.gov/pubmed/3130...
Depositing User:	Mr Philip O'Reilly
Date Deposited:	19 Jul 2019 14:59
Last Modified:	19 Jul 2019 14:59
URI:	http://www.repository.uhblibrary.co.uk/id/eprint/2247

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