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Feasibility and Safety of Bisegmentectomy 7–8 while Preserving Hepatic Venous Outflow

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Methods: Twenty patients undergoing S7-8 between 2010 and 2017 were evaluated and compared with 22 patients undergoing right posterior sectionectomy (RPS), with a similar resection volume but without hepatic vein… Click to show full abstract

Methods: Twenty patients undergoing S7-8 between 2010 and 2017 were evaluated and compared with 22 patients undergoing right posterior sectionectomy (RPS), with a similar resection volume but without hepatic vein resection. In the S7-8 group, 14 patients with a significant IRHV (median 6 mm, range 3.6–8.8 mm) underwent S7-8 without hepatic vein reconstruction. RHV reconstruction was performed for 6 patients with no IRHV, consisting of direct endto-end anastomosis of the RHV in 5 patients and reconstruction using the cryo-preserved iliac vessel in 1 patient.

Keywords: preserving hepatic; venous outflow; feasibility safety; hepatic venous; bisegmentectomy preserving; safety bisegmentectomy

Journal Title: Hpb
Year Published: 2018

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