Research on the indications of half in situ or ex situ liver resection and liver autotransplantation:A report 36 cases

doi:10.7504/CJPS.ISSN1005-2208.2014.08.21

Abstract：Objective To research indications and association issues of half in situ or ex situ liver resection and liver autotransplantation. Methods The clinical data of 36 cases of half in situ or ex situ liver resection and liver autotransplantation completed form October 2005 to December 2011 in Zhongnan Hospital of Wuhan University and the Third Xiangya Hospital of Central South University were analyzed retrospectively and sorted in disease species and anatomical indications. Results Cardiac arrest occurred in 2 cases and operation was successful in other 34 cases. A total of 34 cases were followed up with a median follow-up of 4 years ( 2-8 years ) as of May 2013. Only one of the 13 cases with benign disease had primary recurrence 5 months later with the hydatid violated the residual bile duct surrounding tissue,and was survival under the RFA treatment. Ten of 23 cases of maligant disease had postoperative tumor metastasis recurrence and the remaining 13 cases were still alive, the longest one survived 7.5 years. Conclusion The following 5 anatomic structures of tumor position can be implemented with half in situ or ex situ liver resection and liver autotransplantation:the trigonum of right hepatic vein (RHV),middle hepatic vein (MHV) and retrohepatic inferior vena cava (RIVC);the trigonum of left hepatic vein (LHV),MHV and RIVC;caudate lobe and segmentⅣ;the trigonum of left branch of portal vein (LPV), trunk of MHV and RIVC;the trigonum of right branch of portal vein (RPV),trunk of MHV and RIVC.