电影

IF 0.3 4区 医学 Q4 SURGERY
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引用次数: 0

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Motion Picture
Aim: We hereby demonstrate a case of Laparoscopic Associating Liver Partition and Portal vein Ligation for Staged hepatectomy (ALPPS) for Hepatocellular Carcinoma. The patient was a 69 years old man with ser-oconverted hepatitis B virus infection. Surveillance imaging detected a 10 cm tumour in right lobe of the liver. Tumour compressed on the right portal vein but there was no direct invasion. Alpha-fetoprotein was 13 μ g/L. Indocyanine green (ICG) retention rate was 7.9% in 15 min. However, the left lobe volume was estimated to be 318 mL which corresponded to 27% of his estimated standard liver volume (ESLV). Methods: Laparoscopic ALPPS right hepatectomy was performed. Results: After controlling the right portal pedicle, repeated ICG retention test was performed and the result was 27.4% in 15 min. A complete split was performed. The patient had uneventful recovery from stage I. A computed tomography (CT) on day 4 revealed significant left lobe hypertrophy. The left lobe measured 567 mL, which corresponded to 48% of his ESLV. Second stage surgery was performed on day nine after the first operation. Conclusion: There was minimal adhesion from previous laparoscopic surgery. Patient had uneventful recovery from the second operation. He was discharged on day 16 after ALPPS stage I and day six after stage II. Pathology showed 10 cm moderately differentiated HCC with microvascular invasion. Margins were clear.
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来源期刊
Surgical Practice
Surgical Practice 医学-外科
CiteScore
0.90
自引率
0.00%
发文量
74
审稿时长
>12 weeks
期刊介绍: Surgical Practice is a peer-reviewed quarterly journal, which is dedicated to the art and science of advances in clinical practice and research in surgery. Surgical Practice publishes papers in all fields of surgery and surgery-related disciplines. It consists of sections of history, leading articles, reviews, original papers, discussion papers, education, case reports, short notes on surgical techniques and letters to the Editor.
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