Sharp liver excision under hepatic vascular exclusion in case of liver transplant for large polycystic disease. Case report of a new surgical technique

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00023001%3A_____%2F18%3A00076970" target="_blank" >RIV/00023001:_____/18:00076970 - isvavai.cz</a>

Result on the web

<a href="https://reader.elsevier.com/reader/sd/31CF85C058D5339B25819CCEA7B54396675C6403991C3558FBD8A95CE5D5D69D26F4C4DD8501632280568A3F4E8516D3" target="_blank" >https://reader.elsevier.com/reader/sd/31CF85C058D5339B25819CCEA7B54396675C6403991C3558FBD8A95CE5D5D69D26F4C4DD8501632280568A3F4E8516D3</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1016/j.ijscr.2018.01.001" target="_blank" >10.1016/j.ijscr.2018.01.001</a>

Result language

angličtina

Original language name

Sharp liver excision under hepatic vascular exclusion in case of liver transplant for large polycystic disease. Case report of a new surgical technique

Original language description

INTRODUCTION: Polycystic liver disease is observed in 75-90% of patients with autosomal dominant polycystic kidney disease (ADPKD). ADPKD has a high prevalence of 1/1000. Hepatomegaly severely reduces quality of life and liver transplantation seems to be method of choice for many patients. Because of the rarity of this disease and the small number of symptomatic patients with massive hepatomegaly indicated for the transplantation, there is no standard approach for explantation of the liver. CASE PRESENTATION: In our case, 57-year-old woman with massive hepatomegaly was treated with simultaneous split liver and kidney transplantation with bilateral nephrectomy. DISCUSSION: For the native liver excision we used unique surgical approach - sharp liver transection under hepatic vascular exclusion. Because we experienced some cases with massive bleeding during the polycystic liver explantation, we decided to change the surgical approach. The technique offers limited blood loss and comfortable operation field exposure. CONCLUSION: The giant polycystic liver could safely be explanted only using sharp transection hepatectomy under hepatic vascular exclusion. There is significant difference between blood loss in patients treated with or without hepatic vascular exclusion. (C) 2018 The Authors. Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30213 - Transplantation

Project

—

Continuities

N - Vyzkumna aktivita podporovana z neverejnych zdroju

Publication year

2018

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

International journal of surgery case reports [online]

ISSN

2210-2612

e-ISSN

—

Volume of the periodical

44

Issue of the periodical within the volume

January 8

Country of publishing house

NL - THE KINGDOM OF THE NETHERLANDS

Number of pages

5

Pages from-to

143-147

UT code for WoS article

000428315700036

EID of the result in the Scopus database

2-s2.0-85042880563