scholarly journals Assessment and Optimization of the Future Liver Remnant

10.5772/66139 ◽  
2017 ◽  
Author(s):  
Mandivavarira Maundura ◽  
Jonathan B. Koea
Keyword(s):  
Future Liver Remnant ◽  
Liver Remnant ◽  
The Future

scholarly journals Successful Thrombectomy via a Surgically Reopened Umbilical Vein for Extended Portal Vein Thrombosis Caused by Portal Vein Embolization prior to Extended Liver Resection

2020 ◽  
Vol 14 (2) ◽  
pp. 320-328
Author(s):  
Wouter J.M. Derksen ◽  
Iris E.M. de Jong ◽  
Carlijn I. Buis ◽  
Koen M.E.M. Reyntjens ◽  
G. Matthijs Kater ◽  
...  
Keyword(s):  
Portal Vein ◽  
Portal Vein Thrombosis ◽  
Portal Vein Embolization ◽  
Liver Surgery ◽  
Umbilical Vein ◽  
Future Liver Remnant ◽  
Main Stem ◽  
Liver Remnant ◽  
Vein Thrombosis ◽  
The Future

Selective portal vein embolization (PVE) before extended liver surgery is an accepted method to stimulate growth of the future liver remnant. Portal vein thrombosis (PVT) of the main stem and the non-targeted branches to the future liver remnant is a rare but major complication of PVE, requiring immediate revascularization. Without revascularization, curative liver surgery is not possible, resulting in a potentially life-threatening situation. We here present a new surgical technique to revascularize the portal vein after PVT by combining a surgical thrombectomy with catheter-based thrombolysis via the surgically reopened umbilical vein. This technique was successfully applied in a patient who developed thrombosis of the portal vein main stem, as well as the left portal vein and its branches to the left lateral segments after selective right-sided PVE in preparation for an extended right hemihepatectomy. The advantage of this technique is the avoidance of an exploration of hepatoduodenal ligament and a venotomy of the portal vein. The minimal surgical trauma facilitates additional intravascular thrombolytic therapy as well as the future right extended hemihepatectomy. We recommend this technique in patients with extensive PVT in which percutaneous less invasive therapies have been proven unsuccessful.

scholarly journals Is progression in the future liver remnant a contraindication for second-stage hepatectomy?

HPB ◽  
2019 ◽  
Vol 21 (11) ◽  
pp. 1478-1484
Author(s):  
Lionel Jouffret ◽  
Jacques Ewald ◽  
Ugo Marchese ◽  
Jonathan Garnier ◽  
Marine Gilabert ◽  
...  
Keyword(s):  
Future Liver Remnant ◽  
Liver Remnant ◽  
Second Stage ◽  
The Future

scholarly journals Remnant Hepatocellular Uptake Index (Rhui) as a Novel Functional Assessment of the Future Liver Remnant after Major Hepatectomy

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S210-S211
Author(s):  
T. Notake ◽  
A. Shimizu ◽  
K. Kubota ◽  
T. Ikehara ◽  
H. Hayashi ◽  
...  
Keyword(s):  
Functional Assessment ◽  
Major Hepatectomy ◽  
Future Liver Remnant ◽  
Liver Remnant ◽  
The Future

Trans-Splenic Portal Vein Embolization: A Technique to Avoid Damage to the Future Liver Remnant

2016 ◽  
Vol 39 (10) ◽  
pp. 1514-1518 ◽  
Author(s):  
Ammar Sarwar ◽  
Olga R. Brook ◽  
Jeffrey L. Weinstein ◽  
Khalid Khwaja ◽  
Muneeb Ahmed
Keyword(s):  
Portal Vein ◽  
Portal Vein Embolization ◽  
Future Liver Remnant ◽  
Liver Remnant ◽  
The Future

scholarly journals Same soup different taste—how to best manage the future liver remnant—a surgical perspective

2021 ◽  
Vol 0 (0) ◽  
pp. 0-0
Author(s):  
John R. Bergquist ◽  
Patrick Starlinger ◽  
Brendan C. Visser
Keyword(s):  
Future Liver Remnant ◽  
Liver Remnant ◽  
The Future

scholarly journals Renin-Angiotensin Inhibition Attenuates Tumour Progression in the Future Liver Remnant and And Modulates Anti-Tumour Immunity

HPB ◽  
2021 ◽  
Vol 23 ◽  
pp. S116
Author(s):  
G. Riddiough ◽  
K. Walsh ◽  
T. Fifis ◽  
V. Muralidharan ◽  
C. Christophi ◽  
...  
Keyword(s):  
Tumour Progression ◽  
Future Liver Remnant ◽  
Liver Remnant ◽  
Tumour Immunity ◽  
Renin Angiotensin ◽  
The Future
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