Introduction The purpose of this study was to report on the feasibility of integrating 3D preoperative volumetry, portal vein transection and in situ split procedure. A 54-year-old female with now resectable colorectal liver metastasis (CRLM) (segments III, IVb, V-VIII) underwent a two-staged procedure. Methods Segment III resection, right portal vein transection and an in situ split procedure (first stage) after 3D volumetry based on CT data and a right trisegmentectomy (second stage) were performed. RO resection of metastases was achieved, and the postoperative course was uneventful. Conclusion The proposed strategy seems to be a promising method to achieve higher resectability rates in CRLM patients
Integration of 3D Volumetry, Portal Transection and In Situ Split procedure: a new surgical strategy for inoperable Liver Metastasis
DONATI, MARCELLO ANGELO ALFREDO;
2012-01-01
Abstract
Introduction The purpose of this study was to report on the feasibility of integrating 3D preoperative volumetry, portal vein transection and in situ split procedure. A 54-year-old female with now resectable colorectal liver metastasis (CRLM) (segments III, IVb, V-VIII) underwent a two-staged procedure. Methods Segment III resection, right portal vein transection and an in situ split procedure (first stage) after 3D volumetry based on CT data and a right trisegmentectomy (second stage) were performed. RO resection of metastases was achieved, and the postoperative course was uneventful. Conclusion The proposed strategy seems to be a promising method to achieve higher resectability rates in CRLM patientsFile | Dimensione | Formato | |
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