Ex vivo hepatectomy and partial liver autotransplantation for hepatoid adenocarcinoma: A case report

Wang,Fu‑Qiang; Lu,Qian; Yan,Jun; Peng,You‑Yuan; Xie,Cheng‑Rong; Su,Yong‑Jie; Zhou,Jian‑Yin; Wang,Bo‑Liang; Zhao,Wen‑Xiu; Wang,Xiao‑Min; Bie,Ping; Yin,Zhen‑Yu

doi:10.3892/ol.2015.3041

Ex vivo hepatectomy and partial liver autotransplantation for hepatoid adenocarcinoma: A case report

Authors:
- Fu‑Qiang Wang
- Qian Lu
- Jun Yan
- You‑Yuan Peng
- Cheng‑Rong Xie
- Yong‑Jie Su
- Jian‑Yin Zhou
- Bo‑Liang Wang
- Wen‑Xiu Zhao
- Xiao‑Min Wang
- Ping Bie
- Zhen‑Yu Yin
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Affiliations: Department of Hepatobiliary Surgery, Zhongshan Hospital of Xiamen University, Fujian Provincial Key Laboratory of Chronic Liver Disease and Hepatocellular Carcinoma, Xiamen, Fujian, P.R. China, Department of Hepatobiliary Surgery, Southwest Hospital, The Third Military Medical University, Chongqing, P.R. China, School of Information Science and Technology, Xiamen University, Xiamen, Fujian, P.R. China
Published online on: March 16, 2015 https://doi.org/10.3892/ol.2015.3041
Pages: 2199-2204

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Abstract

We previously reported the case of a 56‑year‑old male who underwent surgical treatment for gastric hepatoid adenocarcinoma and splenic metastasis. The present study reports the case of the same patient who underwent successful ex vivo hepatectomy and partial liver autotransplantation. Computed tomography scans demonstrated that the tumor was located in the left and caudate lobes of the liver, with hepatic vein and inferior vena cava involvement, and right portal vein compression. To clarify the association between the vessels and the tumor, a three‑dimensional imaging technique was used to reconstruct the liver architecture. During the surgery, the whole liver was removed with the retrohepatic vena cava, which was replaced with a prosthetic graft without a veno‑venous bypass; a portacaval shunt for the anhepatic phase was performed simultaneously. The surgery lasted 9 h, and the anhepatic phase lasted 4 h. Blood loss during the surgery was recorded at 1,500 ml. The time taken for recovery was 21 days post‑surgery, and at 20 months, the patient was disease‑free. To the best of our knowledge, this is the first case of ex vivo liver resection performed for hepatic metastasis of hepatoid adenocarcinoma to be reported.

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