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Totally laparoscopic radiofrequency-assisted liver partition with portal vein ligation for hepatocellular carcinoma in cirrhotic liver.

Abstract Adequate future liver remnant (FLR) volume is often a concern for patients with hepatocellular carcinoma (HCC). Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) procedure can rapidly lead to impressive growth of FLR. We describe the technique of an entirely laparoscopic radiofrequency-assisted liver partition with portal vein ligation for staged hepatectomy (RALPP) in a cirrhotic patient with HCC.
PMID
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A totally laparoscopic associating liver partition and portal vein ligation for staged hepatectomy assisted with radiofrequency (radiofrequency assisted liver partition with portal vein ligation) for staged liver resection.

Authors

Mayor MeshTerms
Keywords
Journal Title medicine
Publication Year Start




PMID- 29390573
OWN - NLM
STAT- MEDLINE
DCOM- 20180212
LR  - 20180212
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 51
DP  - 2017 Dec
TI  - Totally laparoscopic radiofrequency-assisted liver partition with portal vein
      ligation for hepatocellular carcinoma in cirrhotic liver.
PG  - e9432
LID - 10.1097/MD.0000000000009432 [doi]
AB  - RATIONALE: Adequate future liver remnant (FLR) volume is often a concern for
      patients with hepatocellular carcinoma (HCC). Associating liver partition and
      portal vein ligation for staged hepatectomy (ALPPS) procedure can rapidly lead to
      impressive growth of FLR. We describe the technique of an entirely laparoscopic
      radiofrequency-assisted liver partition with portal vein ligation for staged
      hepatectomy (RALPP) in a cirrhotic patient with HCC. PATIENT CONCERNS: A 33
      year-old female cirrhotic patient with HCC in the right liver was indicated for
      RALPP as the predicted future liver remnant (FLR) was 21%. DIAGNOSES: HCC with
      liver cirrhosis. INTERVENTIONS: The first surgery consisted of ligation of the
      right portal vein and radiofrequency ablation of the liver without parenchymal
      transection. Three weeks postoperatively, FLR reached 42%, and the patient
      underwent right hepatectomy. OUTCOMES: Operative times for the both surgeries
      were 60 and 240 minutes respectively, with negligeable blood loss. The patient
      had an uneventful postoperative course, and the FLR reached 53% 1 week after the 
      second procedure. No recurrence occurred at 10 months. LESSONS: Laparoscopic
      RALPP is feasible in some cirrhotic patients with liver cancer that in line with 
      the indications and this method may be a superior choice for selected cirrhotic
      patients with HCC, as it decreases potential morbidity associated with open
      surgery.
CI  - Copyright (c) 2017 The Authors. Published by Wolters Kluwer Health, Inc. All
      rights reserved.
FAU - Rong, Zhixia
AU  - Rong Z
AD  - Service of Hepatobiliary and Pancreatic Surgery, Beijing Tsinghua Changgung
      Hospital, Tsinghua University, Beijing.
FAU - Lu, Qian
AU  - Lu Q
AD  - Service of Hepatobiliary and Pancreatic Surgery, Beijing Tsinghua Changgung
      Hospital, Tsinghua University, Beijing.
AD  - Institute of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical
      University, Chongqing, China.
FAU - Yan, Jun
AU  - Yan J
AD  - Service of Hepatobiliary and Pancreatic Surgery, Beijing Tsinghua Changgung
      Hospital, Tsinghua University, Beijing.
AD  - Institute of Hepatobiliary Surgery, Southwest Hospital, Third Military Medical
      University, Chongqing, China.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Adult
MH  - Carcinoma, Hepatocellular/pathology/*surgery
MH  - Catheter Ablation/*methods
MH  - Female
MH  - Hepatectomy/*methods
MH  - Humans
MH  - Ligation/methods
MH  - Liver/pathology/surgery
MH  - Liver Cirrhosis/pathology/*surgery
MH  - Liver Neoplasms/pathology/*surgery
MH  - Operative Time
MH  - Portal Vein/*surgery
PMC - PMC5758275
EDAT- 2018/02/03 06:00
MHDA- 2018/02/13 06:00
CRDT- 2018/02/03 06:00
PHST- 2018/02/03 06:00 [entrez]
PHST- 2018/02/03 06:00 [pubmed]
PHST- 2018/02/13 06:00 [medline]
AID - 10.1097/MD.0000000000009432 [doi]
AID - 00005792-201712220-00160 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Dec;96(51):e9432. doi: 10.1097/MD.0000000000009432.