Ex Vivo Left Trisegmentectomy with Partial Resection of the Right Hepatic Vein by Bench Surgery for Advanced Cholangioma

  • Seiki Tashiro
  • Hidenori Miyake


Experience and advances in hepatic transplantation have opened the possibility of bench surgery for liver disease. Pichlmayr et al.1 performed the first ex situ liver operation in February, 1998, on a patient to remove large metastases from a leiomyosarcoma of the stomach. We performed an ex situ operation on the liver of a 59-year-old man to remove a large cholangioma with involvement of the inferior vena cava (IVC) and invasion of the right hepatic vein, which otherwise had been assessed as truly unresectable.


Portal Vein Hepatic Artery Inferior Vena Cava Hepatic Vein Proper Hepatic Artery 
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  1. 1.
    Pichlmayr R, Grosse H, Hauses J, Gubernatis G, Lamesch P, Bretschneider HJ (1988) Technique and preliminary results ofextracorporeal liver surgery on the in situ perfused liver. Br J Surg 77:21–26CrossRefGoogle Scholar
  2. 2.
    Sicard G, Vatentin L, Freeman M (1988) Renal autotransplantation. Surgery 104:624–630PubMedGoogle Scholar

Copyright information

© Springer Japan 2004

Authors and Affiliations

  • Seiki Tashiro
    • 1
  • Hidenori Miyake
    • 1
  1. 1.The University of Tokushima School of MedicineTokushimaJapan

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