scholarly journals Portal Vein Flow by Doppler Ultrasonography and Liver Volume by Computed Tomography in Living Donor Candidates: Correlation with Indocyanine Green Test

2019 ◽  
Author(s):  
Sunyoung Lee ◽  
◽  
Kyoung Won Kim ◽  
Jeongjin Lee ◽  
Taeyong Park ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Portal Vein ◽  
Indocyanine Green ◽  
Living Donor ◽  
Doppler Ultrasonography ◽  
Liver Volume ◽  
Portal Vein Flow ◽  
Indocyanine Green Test

Measurement of liver volumes by portal vein flow by Doppler ultrasound in living donor liver transplantation

2017 ◽  
Vol 31 (9) ◽  
pp. e13050 ◽  
Author(s):  
Sang Hyun Choi ◽  
Jae Hyun Kwon ◽  
Kyoung Won Kim ◽  
Hye Young Jang ◽  
Ji Hye Kim ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Doppler Ultrasound ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Portal Vein Flow

scholarly journals Intra-operative management of low portal vein flow in pediatric living donor liver transplantation

2012 ◽  
Vol 25 (5) ◽  
pp. 586-591 ◽  
Author(s):  
Ting-Lung Lin ◽  
Li-Wei Chiang ◽  
Chao-Long Chen ◽  
Shih-Hor Wang ◽  
Chih-Che Lin ◽  
...  
Keyword(s):  
Liver Transplantation ◽  
Portal Vein ◽  
Living Donor ◽  
Living Donor Liver Transplantation ◽  
Operative Management ◽  
Donor Liver ◽  
Donor Liver Transplantation ◽  
Portal Vein Flow

scholarly journals Right hepatectomy with preservation of the entire caudate lobe in patients with metastatic liver tumors: a case of a new hepatectomy technique and treatment strategy for patients with marginal liver function

BMC Surgery ◽  
2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Hiroyuki Kato ◽  
Yukio Asano ◽  
Masahiro Ito ◽  
Satoshi Arakawa ◽  
Norihiko Kawabe ◽  
...  
Keyword(s):  
Liver Function ◽  
Portal Vein ◽  
Indocyanine Green ◽  
Liver Volume ◽  
Caudate Lobe ◽  
Remnant Liver ◽  
Right Hepatectomy ◽  
Indocyanine Green Clearance ◽  
The Right ◽  
Metastatic Liver

Abstract Background Performing major hepatectomy for patients with marginal hepatic function is challenging. In some cases, the procedure is contraindicated owing to the threat of postoperative liver failure. In this case report, we present the first case of marginal liver function (indocyanine green clearance retention rate at 15 min [ICGR15]: 28%) successfully treated with right hepatectomy, resulting in total caudate lobe preservation. Case presentation A 71-year-old man was diagnosed with sigmoid colon cancer with three liver metastases (S5, S7, and S8). All of metastatic lesions shrunk after chemotherapy, but his ICGR15 and indocyanine green clearance rate (ICGK) were 21% and 0.12, respectively. Moreover, the remnant liver volume was only 39%. Therefore, portal venous embolism (PVE) of the right portal vein was suggested. Portography showed divergence of the considerably preserved right caudate lobe branch (PV1R) from the root of the right portal vein. The liver function was reevaluated 18 days after PVE was suggested. During this time, the ICGR15 (21–28%) and ICGK rate (0.12–0.10) deteriorated. The right caudate lobe was significantly enlarged; thus, a total caudate lobe-preserving hepatectomy (TCPRx) was performed. Patients eligible for TCPRx included those with (1) hepatocellular carcinoma or metastatic liver cancer, (2) no tumor in the caudate lobe, (3) marginal liver function (ICG Krem greater than 0.05 if TCPRx was adapted; otherwise, less than 0.05) and Child–Pugh classification category A, and (4) preserved PV1R and right caudate bile duct branch. The procedure was performed through (A) precise estimation of the remnant liver volume preoperatively, (B) repeated intraoperative cholangiography to confirm the biliary branch of the right caudate lobe (B1R) conservation, and (C) stapler division of posterior and anterior Glisson’s pedicles laterally to avoid injuries to the PV1R and B1R. Conclusions Right hepatectomy with total caudate lobe preservation, following PVE, was a safe and viable surgical technique for patients with marginal liver function.

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