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Journal of Gastrointestinal Surgery

, Volume 23, Issue 11, pp 2294–2297 | Cite as

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

  • Maria R. Baimas-George
  • David M. Levi
  • Dionisios VrochidesEmail author
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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.

Keywords

Ex vivo Hepatectomy Transplant Surgical oncology Hepatopancreaticobiliary Liver resection Inferior vena cava resection 

Notes

Author Contribution

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

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

References

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    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;231:471–479CrossRefGoogle Scholar
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    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.CrossRefGoogle Scholar
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    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.CrossRefGoogle Scholar

Copyright information

© The Society for Surgery of the Alimentary Tract 2019

Authors and Affiliations

  • Maria R. Baimas-George
    • 1
  • David M. Levi
    • 2
  • Dionisios Vrochides
    • 1
    Email author
  1. 1.Division of Hepatobiliary and Pancreatic Surgery, Carolinas Medical CenterAtrium HealthCharlotteUSA
  2. 2.Division of Transplant Surgery, Carolinas Medical CenterAtrium HealthCharlotteUSA

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