Left Hemihepatectomy

2015 ◽  
pp. 397-404
Author(s):  
Christopher Soll ◽  
Pierre-Alain Clavien
Keyword(s):  
Left Hemihepatectomy

Laparoscopic Left Hemihepatectomy for Left-sided Hepatolithiasis

2015 ◽  
Vol 25 (4) ◽  
pp. 347-350 ◽  
Author(s):  
Xiaoming Ye ◽  
Kaiyuan Ni ◽  
Xiaoshuai Zhou ◽  
Kaigang Xie ◽  
Xiaoming Hong
Keyword(s):  
Left Hemihepatectomy

Rescue partial ALPPS for left hemihepatectomy with reconstruction of the middle hepatic vein

2021 ◽  
Author(s):  
Masaharu Kogure ◽  
Takaaki Arai ◽  
Hirokazu Momose ◽  
Ryota Matsuki ◽  
Yutaka Suzuki ◽  
...  
Keyword(s):  
Portal Vein ◽  
Hepatic Vein ◽  
Retention Rate ◽  
Liver Volume ◽  
Future Liver Remnant ◽  
Middle Hepatic Vein ◽  
Liver Remnant ◽  
Total Liver Volume ◽  
Left Hemihepatectomy ◽  
Icg R15

Major hepatectomy in patients with insufficient future liver remnant (FLR) volume and impaired liver functional reserve has considerable risks for posthepatectomy liver failure (PHLF). The patient was a male in his 70 with an intrahepatic cholangiocarcinoma (ICC) in left hemiliver, involving the middle hepatic vein (MHV). Although FLR volume after left hemihepatectomy was estimated to be 64.4% of the total liver volume, an indocyanine green retention rate at 15 min (ICG-R15) value was 24.2%, thus the patient underwent left portal vein embolization (PVE). The FLR volume increased to 71.3%, however, the non-congestive FLR volume was re-estimated as 45.8% after resection of the MHV, the ICG-R15 value was 29.0%, and ICG-Krem was calculated as 0.037. We performed partial rescue ALPPS (Associating Liver Partition and Portal vein occlusion for Staged hepatectomy) for left hemihepatectomy with the MHV reconstruction. On the first stage, partial liver partition was done along Rex-Cantlie’s line, preserving the MHV and sacrificing the remaining branches to segment 8. The FLR volume increased to 77.4% on day 14. The ICG-R15 value was 29.6%, but ICG-Krem after MHV reconstruction was estimated to be 0.059. The second stage operation on day 21 was left hemihepatectomy with the MHV reconstruction using the left superficial femoral vein graft. The usage of rescue partial ALPPS may contribute to preventing PHLF by introducing occlusion of the portal and/or venous branches in the left hemiliver before curative hepatectomy.

scholarly journals Influence of Portosystemic Shunt on Liver Regeneration after Hepatic Resection in Pigs

HPB Surgery ◽  
2009 ◽  
Vol 2009 ◽  
pp. 1-8 ◽  
Author(s):  
R. Ladurner ◽  
M. Schenk ◽  
R. Margreiter ◽  
F. Offner ◽  
A. Königsrainer
Keyword(s):  
Liver Regeneration ◽  
Portosystemic Shunt ◽  
Control Group ◽  
Minimal Amount ◽  
Remnant Liver ◽  
Ki 67 ◽  
Tissue Sections ◽  
Hepatocyte Regeneration ◽  
Shunt Group ◽  
Left Hemihepatectomy

Objective. The minimal amount of liver mass necessary for regeneration is still a matter of debate. The aim of the study was to analyze liver regeneration factors after extended resection with or without portosystemic shunt. Methods. An extended left hemihepatectomy was performed in 25 domestic pigs, in 15 cases after a portosystemic H-shunt. The expression of Ki-67, VEGF, TGF-, FGF, and CK-7 was analyzed in paraffin-embedded tissue sections. Results. The volume of the remnant liver increased about 2.5-fold at the end of the first week after resection. With 19 cells/10 Glisson fields versus 4/10, Ki-67-expression was significantly higher in the H-shunt group. VEGF- and CK-7-expressions were significantly higher in the control group. No significant change was found in FGF-expression. The expression of TGF- was higher, but not significantly, in the control group. Conclusions. The expression of Ki-67, and therefore hepatocyte regeneration, was increased in the shunt group. The expression of CK-7 on biliary epithelium and the expression of VEGF, however, were stronger in the control group.

scholarly journals Advantages of laparoscopic left hemihepatectomy

Medicine ◽  
2019 ◽  
Vol 98 (23) ◽  
pp. e15929 ◽  
Author(s):  
Xiangbao Yin ◽  
Dilai Luo ◽  
Yong Huang ◽  
Mingwen Huang
Keyword(s):  
Left Hemihepatectomy

scholarly journals Left hemihepatectomy c IVC,right atrial tumor thrombectomy in advanced HCC

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S368
Author(s):  
Kwangsik Chun ◽  
Seokwhan Kim ◽  
Seonjong Han ◽  
Insang Song
Keyword(s):  
Right Atrial ◽  
Advanced Hcc ◽  
Left Hemihepatectomy ◽  
Atrial Tumor

scholarly journals Pure Laparoscopic Left Hemihepatectomy in patient with HCC

HPB ◽  
2019 ◽  
Vol 21 ◽  
pp. S513
Author(s):  
Hwui-Dong Cho ◽  
Ki-Hun Kim ◽  
Dong-Hwan Jung ◽  
Sung-Gyu Lee
Keyword(s):  
Left Hemihepatectomy

scholarly journals Hepatic tuberculosis masquerading as cholangiocarcinoma: an unusual differential for a liver mass

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Christopher Maguire ◽  
Pirathaban Sivabalan ◽  
Shaurya Jhamb ◽  
Pranavan Palamuthusingam
Keyword(s):  
Liver Lesion ◽  
Liver Mass ◽  
Imaging Characteristics ◽  
Hepatic Tuberculosis ◽  
Left Hemihepatectomy

Abstract A 54-year-old woman presented with an incidentally identified asymptomatic liver lesion with imaging characteristics suspicious for malignancy. She underwent a left hemihepatectomy for presumed cholangiocarcinoma. Histopathology revealed granulomas with microbiological investigations later revealing a diagnosis of isolated hepatic tuberculosis. There were no pulmonary or other disease sites identified. The patient has been medically managed for primary hepatic tuberculosis and remains well postoperatively. This case identifies a rare differential for a liver mass that needs to be considered in the clinicians’ workup.

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