Volume 115, Issue 8 pp. 959-962
CASE REPORT

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

Karen Pineda-Solís MD

Karen Pineda-Solís MD

London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada

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Dave Paskar MD

Dave Paskar MD

London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada

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Mauro Tun-Abraham MD

Mauro Tun-Abraham MD

London Health Science Center, Hepatobiliary Surgery, London, Ontario, Canada

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Roberto Hernandez-Alejandro MD

Corresponding Author

Roberto Hernandez-Alejandro MD

University of Rochester, Hepatobiliary Surgery, Rochester, New York

Correspondence

Roberto Hernandez-Alejandro, Professor of Surgery, Chief of Division of Transplantation, University of Rochester, Hepatobiliary Surgery, 601 Elmwood Avenue, Box Transplant Surgery, Rochester, NY 14642.

Email: [email protected]

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First published: 07 March 2017
Citations: 10

Abstract

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.

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