Document Detail

Ex vivo extended left hepatectomy with caval preservation, temporary portacaval shunt, and reconstruction of the right hepatic vein outflow using a reversed portal vein bifurcation graft.
MedLine Citation:
PMID:  17139426     Owner:  NLM     Status:  MEDLINE    
Liver resections that require ex vivo techniques occur rarely, but when done are generally performed on veno-veno bypass to maintain venous return and decompress the portal circulation during the anhepatic phase of the procedure. We describe an ex vivo extended left hepatectomy that was performed with preservation of the inferior vena cava and the use of a temporary portacaval shunt to eliminate the need for veno-venous bypass. Ex vivo resection allowed reconstruction of right hepatic vein branches, using the patient's reversed portal vein bifurcation as a graft to provide venous outflow.
Alan W Hemming; Alan I Reed; Shiro Fujita
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-11-30
Journal Detail:
Title:  Journal of hepato-biliary-pancreatic surgery     Volume:  13     ISSN:  0944-1166     ISO Abbreviation:  J Hepatobiliary Pancreat Surg     Publication Date:  2006  
Date Detail:
Created Date:  2006-12-01     Completed Date:  2007-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431940     Medline TA:  J Hepatobiliary Pancreat Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  525-9     Citation Subset:  IM    
Department of Surgery, University of Florida, College of Medicine, Gainesville, FL 32610, USA.
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MeSH Terms
Adenocarcinoma / secondary,  surgery*
Anastomosis, Surgical
Hepatic Veins / surgery
Liver Neoplasms / secondary,  surgery*
Neoplasms, Multiple Primary
Portacaval Shunt, Surgical
Portal Vein / transplantation
Sigmoid Neoplasms / pathology,  surgery*
Vascular Surgical Procedures / methods*
Vena Cava, Inferior / surgery

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