Erschienen in:
01.02.2012 | Multimedia Article
Integration of 3D Volumetry, Portal Vein Transection and In Situ Split Procedure: A New Surgical Strategy for Inoperable Liver Metastasis
verfasst von:
Karl J. Oldhafer, Marcello Donati, Tina Maghsoudi, Darko Ojdanić, Gregor A. Stavrou
Erschienen in:
Journal of Gastrointestinal Surgery
|
Ausgabe 2/2012
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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 patients.