Indications, limitations and maneuvers to enable extended hepatectomy: Current trends

doi:10.3748/wjg.v20.i24.7887

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Jun 28, 2014; 20(24): 7887-7893
Published online Jun 28, 2014. doi: 10.3748/wjg.v20.i24.7887

Indications, limitations and maneuvers to enable extended hepatectomy: Current trends

Dimitrios Dimitroulis, Petros Tsaparas, Serena Valsami, Dimitrios Mantas, Eleftherios Spartalis, Charalampos Markakis, Gregory Kouraklis

Dimitrios Dimitroulis, Petros Tsaparas, Dimitrios Mantas, Eleftherios Spartalis, Charalampos Markakis, Gregory Kouraklis, Second Department of Propedeutic Surgery, Athens University Medical School, “Laiko” Hospital, 11527 Athens, Greece

Serena Valsami, Blood Transfusion Department, Athens University Medical School, Areteion Hospital, 11527 Athens, Greece

Author contributions: Dimitroulis D and Tsaparas P designed research; Valsami S and Mantas D performed research; Spartalis E and Markakis C analyzed data; Dimitroulis D, Tsaparas P and Kouraklis G wrote the paper.

Correspondence to: Eleftherios Spartalis, MD, MSc, PhDc, Second Department of Propedeutic Surgery, Athens University Medical School, “Laiko” Hospital, Vasilissis Sofias 49, 11527 Athens, Greece. eleftherios.spartalis@gmail.com

Telephone: +30-69-74714078 Fax: +30-21-07456972

Received: December 20, 2013
Revised: February 11, 2014
Accepted: March 8, 2014
Published online: June 28, 2014

Core Tip

Core tip: All methods developed in order to increase the volume of the remnant liver are safe and efficient. in situ liver transection is a novel and revolutionary two-step procedure for extended hepatic resections. Further clinical studies are required to estimate long-term results and the oncological basis of this technique.