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.
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.
Authors: Hauke Lang; Arnold Radtke; Milo Hindennach; Tobias Schroeder; Nils R Frühauf; Massimo Malagó; Holger Bourquain; Heinz-Otto Peitgen; Karl J Oldhafer; Christoph E Broelsch Journal: Arch Surg Date: 2005-07
Authors: Dennis A Wicherts; Rafael Miller; Robbert J de Haas; Georgia Bitsakou; Eric Vibert; Luc-Antoine Veilhan; Daniel Azoulay; Henri Bismuth; Denis Castaing; René Adam Journal: Ann Surg Date: 2008-12 Impact factor: 12.969